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[Congressional Bills 105th Congress]
[From the U.S. Government Publishing Office]
[S. 1754 Enrolled Bill (ENR)]

        S.1754

                       One Hundred Fifth Congress

                                 of the

                        United States of America

                          AT THE SECOND SESSION

          Begun and held at the City of Washington on Tuesday,
the twenty-seventh day of January, one thousand nine hundred and ninety-
                                  eight

                                 An Act

 
 To amend the Public Health Service Act to consolidate and reauthorize 
   health professions and minority and disadvantaged health education 
                    programs, and for other purposes.

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

SECTION 1. SHORT TITLE; TABLE OF CONTENTS.

    (a) Short Title.--This Act may be cited as the ``Health Professions 
Education Partnerships Act of 1998''.
    (b) Table of Contents.--The table of contents of this Act is as 
follows:
Sec. 1. Short title; table of contents.

 TITLE I--HEALTH PROFESSIONS EDUCATION AND FINANCIAL ASSISTANCE PROGRAMS

            Subtitle A--Health Professions Education Programs

Sec. 101. Under-represented minority health professions grant program.
Sec. 102. Training in primary care medicine and dentistry.
Sec. 103. Interdisciplinary, community-based linkages.
Sec. 104. Health professions workforce information and analysis.
Sec. 105. Public health workforce development.
Sec. 106. General provisions.
Sec. 107. Preference in certain programs.
Sec. 108. Definitions.
Sec. 109. Technical amendment on National Health Service Corps.
Sec. 110. Savings provision.

                Subtitle B--Nursing Workforce Development

Sec. 121. Short title.
Sec. 122. Purpose.
Sec. 123. Amendments to Public Health Service Act.
Sec. 124. Savings provision.

                    Subtitle C--Financial Assistance

              CHAPTER 1--SCHOOL-BASED REVOLVING LOAN FUNDS

Sec. 131. Primary care loan program.
Sec. 132. Loans for disadvantaged students.
Sec. 133. Student loans regarding schools of nursing.
Sec. 134. General provisions.

    CHAPTER 2--INSURED HEALTH EDUCATION ASSISTANCE LOANS TO GRADUATE 
                                STUDENTS

Sec. 141. Health Education Assistance Loan Program.
Sec. 142. HEAL lender and holder performance standards.
Sec. 143. Insurance Program.
Sec. 144. HEAL bankruptcy.
Sec. 145. HEAL refinancing.

                   TITLE II--OFFICE OF MINORITY HEALTH

Sec. 201. Revision and extension of programs of Office of Minority 
          Health.

                     TITLE III--SELECTED INITIATIVES

Sec. 301. State offices of rural health.
Sec. 302. Demonstration projects regarding Alzheimer's Disease.
Sec. 303. Project grants for immunization services.

                   TITLE IV--MISCELLANEOUS PROVISIONS

Sec. 401. Technical corrections regarding Public Law 103-183.
Sec. 402. Miscellaneous amendments regarding PHS commissioned officers.
Sec. 403. Clinical traineeships.
Sec. 404. Project grants for screenings, referrals, and education 
          regarding lead poisoning.
Sec. 405. Project grants for preventive health services regarding 
          tuberculosis.
Sec. 406. CDC loan repayment program.
Sec. 407. Community programs on domestic violence.
Sec. 408. State loan repayment program.
Sec. 409. Authority of the director of NIH.
Sec. 410. Raise in maximum level of loan repayments.
Sec. 411. Construction of regional centers for research on primates.
Sec. 412. Peer review.
Sec. 413. Funding for trauma care.
Sec. 414. Health information and health promotion.
Sec. 415. Emergency medical services for children.
Sec. 416. Administration of certain requirements.
Sec. 417. Aids drug assistance program.
Sec. 418. National Foundation for Biomedical Research.
Sec. 419. Fetal Alcohol Syndrome prevention and services.

TITLE I--HEALTH PROFESSIONS EDUCATION AND FINANCIAL ASSISTANCE PROGRAMS
           Subtitle A--Health Professions Education Programs

    SEC. 101. UNDER-REPRESENTED MINORITY HEALTH PROFESSIONS GRANT 
      PROGRAM.
    (a) In General.--Part B of title VII of the Public Health Service 
Act (42 U.S.C. 293 et seq.) is amended to read as follows:

          ``PART B--HEALTH PROFESSIONS TRAINING FOR DIVERSITY

``SEC. 736. CENTERS OF EXCELLENCE.

    ``(a) In General.--The Secretary shall make grants to, and enter 
into contracts with, designated health professions schools described in 
subsection (c), and other public and nonprofit health or educational 
entities, for the purpose of assisting the schools in supporting 
programs of excellence in health professions education for under-
represented minority individuals.
    ``(b) Required Use of Funds.--The Secretary may not make a grant 
under subsection (a) unless the designated health professions school 
involved agrees, subject to subsection (c)(1)(C), to expend the grant--
        ``(1) to develop a large competitive applicant pool through 
    linkages with institutions of higher education, local school 
    districts, and other community-based entities and establish an 
    education pipeline for health professions careers;
        ``(2) to establish, strengthen, or expand programs to enhance 
    the academic performance of under-represented minority students 
    attending the school;
        ``(3) to improve the capacity of such school to train, recruit, 
    and retain under-represented minority faculty including the payment 
    of such stipends and fellowships as the Secretary may determine 
    appropriate;
        ``(4) to carry out activities to improve the information 
    resources, clinical education, curricula and cultural competence of 
    the graduates of the school, as it relates to minority health 
    issues;
        ``(5) to facilitate faculty and student research on health 
    issues particularly affecting under-represented minority groups, 
    including research on issues relating to the delivery of health 
    care;
        ``(6) to carry out a program to train students of the school in 
    providing health services to a significant number of under-
    represented minority individuals through training provided to such 
    students at community-based health facilities that--
            ``(A) provide such health services; and
            ``(B) are located at a site remote from the main site of 
        the teaching facilities of the school; and
        ``(7) to provide stipends as the Secretary determines 
    appropriate, in amounts as the Secretary determines appropriate.
    ``(c) Centers of Excellence.--
        ``(1) Designated schools.--
            ``(A) In general.--The designated health professions 
        schools referred to in subsection (a) are such schools that 
        meet each of the conditions specified in subparagraphs (B) and 
        (C), and that--
                ``(i) meet each of the conditions specified in 
            paragraph (2)(A);
                ``(ii) meet each of the conditions specified in 
            paragraph (3);
                ``(iii) meet each of the conditions specified in 
            paragraph (4); or
                ``(iv) meet each of the conditions specified in 
            paragraph (5).
            ``(B) General conditions.--The conditions specified in this 
        subparagraph are that a designated health professions school--
                ``(i) has a significant number of under-represented 
            minority individuals enrolled in the school, including 
            individuals accepted for enrollment in the school;
                ``(ii) has been effective in assisting under-
            represented minority students of the school to complete the 
            program of education and receive the degree involved;
                ``(iii) has been effective in recruiting under-
            represented minority individuals to enroll in and graduate 
            from the school, including providing scholarships and other 
            financial assistance to such individuals and encouraging 
            under-represented minority students from all levels of the 
            educational pipeline to pursue health professions careers; 
            and
                ``(iv) has made significant recruitment efforts to 
            increase the number of under-represented minority 
            individuals serving in faculty or administrative positions 
            at the school.
            ``(C) Consortium.--The condition specified in this 
        subparagraph is that, in accordance with subsection (e)(1), the 
        designated health profession school involved has with other 
        health profession schools (designated or otherwise) formed a 
        consortium to carry out the purposes described in subsection 
        (b) at the schools of the consortium.
            ``(D) Application of criteria to other programs.--In the 
        case of any criteria established by the Secretary for purposes 
        of determining whether schools meet the conditions described in 
        subparagraph (B), this section may not, with respect to racial 
        and ethnic minorities, be construed to authorize, require, or 
        prohibit the use of such criteria in any program other than the 
        program established in this section.
        ``(2) Centers of excellence at certain historically black 
    colleges and universities.--
            ``(A) Conditions.--The conditions specified in this 
        subparagraph are that a designated health professions school--
                ``(i) is a school described in section 799B(1); and
                ``(ii) received a contract under section 788B for 
            fiscal year 1987, as such section was in effect for such 
            fiscal year.
            ``(B) Use of grant.--In addition to the purposes described 
        in subsection (b), a grant under subsection (a) to a designated 
        health professions school meeting the conditions described in 
        subparagraph (A) may be expended--
                ``(i) to develop a plan to achieve institutional 
            improvements, including financial independence, to enable 
            the school to support programs of excellence in health 
            professions education for under-represented minority 
            individuals; and
                ``(ii) to provide improved access to the library and 
            informational resources of the school.
            ``(C) Exception.--The requirements of paragraph (1)(C) 
        shall not apply to a historically black college or university 
        that receives funding under paragraphs (2) or (5).
        ``(3) Hispanic centers of excellence.--The conditions specified 
    in this paragraph are that--
            ``(A) with respect to Hispanic individuals, each of clauses 
        (i) through (iv) of paragraph (1)(B) applies to the designated 
        health professions school involved;
            ``(B) the school agrees, as a condition of receiving a 
        grant under subsection (a), that the school will, in carrying 
        out the duties described in subsection (b), give priority to 
        carrying out the duties with respect to Hispanic individuals; 
        and
            ``(C) the school agrees, as a condition of receiving a 
        grant under subsection (a), that--
                ``(i) the school will establish an arrangement with 1 
            or more public or nonprofit community based Hispanic 
            serving organizations, or public or nonprofit private 
            institutions of higher education, including schools of 
            nursing, whose enrollment of students has traditionally 
            included a significant number of Hispanic individuals, the 
            purposes of which will be to carry out a program--

                    ``(I) to identify Hispanic students who are 
                interested in a career in the health profession 
                involved; and
                    ``(II) to facilitate the educational preparation of 
                such students to enter the health professions school; 
                and

                ``(ii) the school will make efforts to recruit Hispanic 
            students, including students who have participated in the 
            undergraduate or other matriculation program carried out 
            under arrangements established by the school pursuant to 
            clause (i)(II) and will assist Hispanic students regarding 
            the completion of the educational requirements for a degree 
            from the school.
        ``(4) Native american centers of excellence.--Subject to 
    subsection (e), the conditions specified in this paragraph are 
    that--
            ``(A) with respect to Native Americans, each of clauses (i) 
        through (iv) of paragraph (1)(B) applies to the designated 
        health professions school involved;
            ``(B) the school agrees, as a condition of receiving a 
        grant under subsection (a), that the school will, in carrying 
        out the duties described in subsection (b), give priority to 
        carrying out the duties with respect to Native Americans; and
            ``(C) the school agrees, as a condition of receiving a 
        grant under subsection (a), that--
                ``(i) the school will establish an arrangement with 1 
            or more public or nonprofit private institutions of higher 
            education, including schools of nursing, whose enrollment 
            of students has traditionally included a significant number 
            of Native Americans, the purpose of which arrangement will 
            be to carry out a program--

                    ``(I) to identify Native American students, from 
                the institutions of higher education referred to in 
                clause (i), who are interested in health professions 
                careers; and
                    ``(II) to facilitate the educational preparation of 
                such students to enter the designated health 
                professions school; and

                ``(ii) the designated health professions school will 
            make efforts to recruit Native American students, including 
            students who have participated in the undergraduate program 
            carried out under arrangements established by the school 
            pursuant to clause (i) and will assist Native American 
            students regarding the completion of the educational 
            requirements for a degree from the designated health 
            professions school.
        ``(5) Other centers of excellence.--The conditions specified in 
    this paragraph are--
            ``(A) with respect to other centers of excellence, the 
        conditions described in clauses (i) through (iv) of paragraph 
        (1)(B); and
            ``(B) that the health professions school involved has an 
        enrollment of under-represented minorities above the national 
        average for such enrollments of health professions schools.
    ``(d) Designation as Center of Excellence.--
        ``(1) In general.--Any designated health professions school 
    receiving a grant under subsection (a) and meeting the conditions 
    described in paragraph (2) or (5) of subsection (c) shall, for 
    purposes of this section, be designated by the Secretary as a 
    Center of Excellence in Under-Represented Minority Health 
    Professions Education.
        ``(2) Hispanic centers of excellence.--Any designated health 
    professions school receiving a grant under subsection (a) and 
    meeting the conditions described in subsection (c)(3) shall, for 
    purposes of this section, be designated by the Secretary as a 
    Hispanic Center of Excellence in Health Professions Education.
        ``(3) Native american centers of excellence.--Any designated 
    health professions school receiving a grant under subsection (a) 
    and meeting the conditions described in subsection (c)(4) shall, 
    for purposes of this section, be designated by the Secretary as a 
    Native American Center of Excellence in Health Professions 
    Education. Any consortium receiving such a grant pursuant to 
    subsection (e) shall, for purposes of this section, be so 
    designated.
    ``(e) Authority Regarding Native American Centers of Excellence.--
With respect to meeting the conditions specified in subsection (c)(4), 
the Secretary may make a grant under subsection (a) to a designated 
health professions school that does not meet such conditions if--
        ``(1) the school has formed a consortium in accordance with 
    subsection (d)(1); and
        ``(2) the schools of the consortium collectively meet such 
    conditions, without regard to whether the schools individually meet 
    such conditions.
    ``(f) Duration of Grant.--The period during which payments are made 
under a grant under subsection (a) may not exceed 5 years. Such 
payments shall be subject to annual approval by the Secretary and to 
the availability of appropriations for the fiscal year involved to make 
the payments.
    ``(g) Definitions.--In this section:
        ``(1) Designated health professions school.--
            ``(A) In general.--The term `health professions school' 
        means, except as provided in subparagraph (B), a school of 
        medicine, a school of osteopathic medicine, a school of 
        dentistry, a school of pharmacy, or a graduate program in 
        behavioral or mental health.
            ``(B) Exception.--The definition established in 
        subparagraph (A) shall not apply to the use of the term 
        `designated health professions school' for purposes of 
        subsection (c)(2).
        ``(2) Program of excellence.--The term `program of excellence' 
    means any program carried out by a designated health professions 
    school with a grant made under subsection (a), if the program is 
    for purposes for which the school involved is authorized in 
    subsection (b) or (c) to expend the grant.
        ``(3) Native americans.--The term `Native Americans' means 
    American Indians, Alaskan Natives, Aleuts, and Native Hawaiians.
    ``(h) Funding.--
        ``(1) Authorization of appropriations.--For the purpose of 
    making grants under subsection (a), there are authorized to be 
    appropriated $26,000,000 for fiscal year 1998, and such sums as may 
    be necessary for each of the fiscal years 1999 through 2002.
        ``(2) Allocations.--Based on the amount appropriated under 
    paragraph (1) for a fiscal year, one of the following subparagraphs 
    shall apply:
            ``(A) In general.--If the amounts appropriated under 
        paragraph (1) for a fiscal year are $24,000,000 or less--
                ``(i) the Secretary shall make available $12,000,000 
            for grants under subsection (a) to health professions 
            schools that meet the conditions described in subsection 
            (c)(2)(A); and
                ``(ii) and available after grants are made with funds 
            under clause (i), the Secretary shall make available--

                    ``(I) 60 percent of such amount for grants under 
                subsection (a) to health professions schools that meet 
                the conditions described in paragraph (3) or (4) of 
                subsection (c) (including meeting the conditions under 
                subsection (e)); and
                    ``(II) 40 percent of such amount for grants under 
                subsection (a) to health professions schools that meet 
                the conditions described in subsection (c)(5).

            ``(B) Funding in excess of $24,000,000.--If amounts 
        appropriated under paragraph (1) for a fiscal year exceed 
        $24,000,000 but are less than $30,000,000--
                ``(i) 80 percent of such excess amounts shall be made 
            available for grants under subsection (a) to health 
            professions schools that meet the requirements described in 
            paragraph (3) or (4) of subsection (c) (including meeting 
            conditions pursuant to subsection (e)); and
                ``(ii) 20 percent of such excess amount shall be made 
            available for grants under subsection (a) to health 
            professions schools that meet the conditions described in 
            subsection (c)(5).
            ``(C) Funding in excess of $30,000,000.--If amounts 
        appropriated under paragraph (1) for a fiscal year are 
        $30,000,000 or more, the Secretary shall make available--
                ``(i) not less than $12,000,000 for grants under 
            subsection (a) to health professions schools that meet the 
            conditions described in subsection (c)(2)(A);
                ``(ii) not less than $12,000,000 for grants under 
            subsection (a) to health professions schools that meet the 
            conditions described in paragraph (3) or (4) of subsection 
            (c) (including meeting conditions pursuant to subsection 
            (e));
                ``(iii) not less than $6,000,000 for grants under 
            subsection (a) to health professions schools that meet the 
            conditions described in subsection (c)(5); and
                ``(iv) after grants are made with funds under clauses 
            (i) through (iii), any remaining funds for grants under 
            subsection (a) to health professions schools that meet the 
            conditions described in paragraph (2)(A), (3), (4), or (5) 
            of subsection (c).
        ``(3) No limitation.--Nothing in this subsection shall be 
    construed as limiting the centers of excellence referred to in this 
    section to the designated amount, or to preclude such entities from 
    competing for other grants under this section.
        ``(4) Maintenance of effort.--
            ``(A) In general.--With respect to activities for which a 
        grant made under this part are authorized to be expended, the 
        Secretary may not make such a grant to a center of excellence 
        for any fiscal year unless the center agrees to maintain 
        expenditures of non-Federal amounts for such activities at a 
        level that is not less than the level of such expenditures 
        maintained by the center for the fiscal year preceding the 
        fiscal year for which the school receives such a grant.
            ``(B) Use of federal funds.--With respect to any Federal 
        amounts received by a center of excellence and available for 
        carrying out activities for which a grant under this part is 
        authorized to be expended, the Secretary may not make such a 
        grant to the center for any fiscal year unless the center 
        agrees that the center will, before expending the grant, expend 
        the Federal amounts obtained from sources other than the grant.

``SEC. 737. SCHOLARSHIPS FOR DISADVANTAGED STUDENTS.

    ``(a) In General.--The Secretary may make a grant to an eligible 
entity (as defined in subsection (d)(1)) under this section for the 
awarding of scholarships by schools to any full-time student who is an 
eligible individual as defined in subsection (d). Such scholarships may 
be expended only for tuition expenses, other reasonable educational 
expenses, and reasonable living expenses incurred in the attendance of 
such school.
    ``(b) Preference in Providing Scholarships.--The Secretary may not 
make a grant to an entity under subsection (a) unless the health 
professions and nursing schools involved agree that, in providing 
scholarships pursuant to the grant, the schools will give preference to 
students for whom the costs of attending the schools would constitute a 
severe financial hardship and, notwithstanding other provisions of this 
section, to former recipients of scholarships under sections 736 and 
740(d)(2)(B) (as such sections existed on the day before the date of 
enactment of this section).
    ``(c) Amount of Award.--In awarding grants to eligible entities 
that are health professions and nursing schools, the Secretary shall 
give priority to eligible entities based on the proportion of 
graduating students going into primary care, the proportion of 
underrepresented minority students, and the proportion of graduates 
working in medically underserved communities.
    ``(d) Definitions.--In this section:
        ``(1) Eligible entities.--The term `eligible entities' means an 
    entity that--
            ``(A) is a school of medicine, osteopathic medicine, 
        dentistry, nursing (as defined in section 801), pharmacy, 
        podiatric medicine, optometry, veterinary medicine, public 
        health, chiropractic, or allied health, a school offering a 
        graduate program in behavioral and mental health practice, or 
        an entity providing programs for the training of physician 
        assistants; and
            ``(B) is carrying out a program for recruiting and 
        retaining students from disadvantaged backgrounds, including 
        students who are members of racial and ethnic minority groups.
        ``(2) Eligible individual.--The term `eligible individual' 
    means an individual who--
            ``(A) is from a disadvantaged background;
            ``(B) has a financial need for a scholarship; and
            ``(C) is enrolled (or accepted for enrollment) at an 
        eligible health professions or nursing school as a full-time 
        student in a program leading to a degree in a health profession 
        or nursing.
``SEC. 738. LOAN REPAYMENTS AND FELLOWSHIPS REGARDING FACULTY 
POSITIONS.
    ``(a) Loan Repayments.--
        ``(1) Establishment of program.--The Secretary shall establish 
    a program of entering into contracts with individuals described in 
    paragraph (2) under which the individuals agree to serve as members 
    of the faculties of schools described in paragraph (3) in 
    consideration of the Federal Government agreeing to pay, for each 
    year of such service, not more than $20,000 of the principal and 
    interest of the educational loans of such individuals.
        ``(2) Eligible individuals.--The individuals referred to in 
    paragraph (1) are individuals from disadvantaged backgrounds who--
            ``(A) have a degree in medicine, osteopathic medicine, 
        dentistry, nursing, or another health profession;
            ``(B) are enrolled in an approved graduate training program 
        in medicine, osteopathic medicine, dentistry, nursing, or other 
        health profession; or
            ``(C) are enrolled as full-time students--
                ``(i) in an accredited (as determined by the Secretary) 
            school described in paragraph (3); and
                ``(ii) in the final year of a course of a study or 
            program, offered by such institution and approved by the 
            Secretary, leading to a degree from such a school.
        ``(3) Eligible health professions schools.--The schools 
    described in this paragraph are schools of medicine, nursing (as 
    schools of nursing are defined in section 801), osteopathic 
    medicine, dentistry, pharmacy, allied health, podiatric medicine, 
    optometry, veterinary medicine, or public health, or schools 
    offering graduate programs in behavioral and mental health.
        ``(4) Requirements regarding faculty positions.--The Secretary 
    may not enter into a contract under paragraph (1) unless--
            ``(A) the individual involved has entered into a contract 
        with a school described in paragraph (3) to serve as a member 
        of the faculty of the school for not less than 2 years; and
            ``(B) the contract referred to in subparagraph (A) provides 
        that--
                ``(i) the school will, for each year for which the 
            individual will serve as a member of the faculty under the 
            contract with the school, make payments of the principal 
            and interest due on the educational loans of the individual 
            for such year in an amount equal to the amount of such 
            payments made by the Secretary for the year;
                ``(ii) the payments made by the school pursuant to 
            clause (i) on behalf of the individual will be in addition 
            to the pay that the individual would otherwise receive for 
            serving as a member of such faculty; and
                ``(iii) the school, in making a determination of the 
            amount of compensation to be provided by the school to the 
            individual for serving as a member of the faculty, will 
            make the determination without regard to the amount of 
            payments made (or to be made) to the individual by the 
            Federal Government under paragraph (1).
        ``(5) Applicability of certain provisions.--The provisions of 
    sections 338C, 338G, and 338I shall apply to the program 
    established in paragraph (1) to the same extent and in the same 
    manner as such provisions apply to the National Health Service 
    Corps Loan Repayment Program established in subpart III of part D 
    of title III, including the applicability of provisions regarding 
    reimbursements for increased tax liability and regarding 
    bankruptcy.
        ``(6) Waiver regarding school contributions.--The Secretary may 
    waive the requirement established in paragraph (4)(B) if the 
    Secretary determines that the requirement will impose an undue 
    financial hardship on the school involved.
    ``(b) Fellowships.--
        ``(1) In general.--The Secretary may make grants to and enter 
    into contracts with eligible entities to assist such entities in 
    increasing the number of underrepresented minority individuals who 
    are members of the faculty of such schools.
        ``(2) Applications.--To be eligible to receive a grant or 
    contract under this subsection, an entity shall provide an 
    assurance, in the application submitted by the entity, that--
            ``(A) amounts received under such a grant or contract will 
        be used to award a fellowship to an individual only if the 
        individual meets the requirements of paragraphs (3) and (4); 
        and
            ``(B) each fellowship awarded pursuant to the grant or 
        contract will include--
                ``(i) a stipend in an amount not exceeding 50 percent 
            of the regular salary of a similar faculty member for not 
            to exceed 3 years of training; and
                ``(ii) an allowance for other expenses, such as travel 
            to professional meetings and costs related to specialized 
            training.
        ``(3) Eligibility.--To be eligible to receive a grant or 
    contract under paragraph (1), an applicant shall demonstrate to the 
    Secretary that such applicant has or will have the ability to--
            ``(A) identify, recruit and select underrepresented 
        minority individuals who have the potential for teaching, 
        administration, or conducting research at a health professions 
        institution;
            ``(B) provide such individuals with the skills necessary to 
        enable them to secure a tenured faculty position at such 
        institution, which may include training with respect to 
        pedagogical skills, program administration, the design and 
        conduct of research, grants writing, and the preparation of 
        articles suitable for publication in peer reviewed journals;
            ``(C) provide services designed to assist such individuals 
        in their preparation for an academic career, including the 
        provision of counselors; and
            ``(D) provide health services to rural or medically 
        underserved populations.
        ``(4) Requirements.--To be eligible to receive a grant or 
    contract under paragraph (1) an applicant shall--
            ``(A) provide an assurance that such applicant will make 
        available (directly through cash donations) $1 for every $1 of 
        Federal funds received under this section for the fellowship;
            ``(B) provide an assurance that institutional support will 
        be provided for the individual for the second and third years 
        at a level that is equal to the total amount of institutional 
        funds provided in the year in which the grant or contract was 
        awarded;
            ``(C) provide an assurance that the individual that will 
        receive the fellowship will be a member of the faculty of the 
        applicant school; and
            ``(D) provide an assurance that the individual that will 
        receive the fellowship will have, at a minimum, appropriate 
        advanced preparation (such as a master's or doctoral degree) 
        and special skills necessary to enable such individual to teach 
        and practice.
        ``(5) Definition.--For purposes of this subsection, the term 
    `underrepresented minority individuals' means individuals who are 
    members of racial or ethnic minority groups that are 
    underrepresented in the health professions including nursing.
``SEC. 739. EDUCATIONAL ASSISTANCE IN THE HEALTH PROFESSIONS REGARDING 
INDIVIDUALS FROM DISADVANTAGED BACKGROUNDS.
    ``(a) In General.--
        ``(1) Authority for grants.--For the purpose of assisting 
    individuals from disadvantaged backgrounds, as determined in 
    accordance with criteria prescribed by the Secretary, to undertake 
    education to enter a health profession, the Secretary may make 
    grants to and enter into contracts with schools of medicine, 
    osteopathic medicine, public health, dentistry, veterinary 
    medicine, optometry, pharmacy, allied health, chiropractic, and 
    podiatric medicine, public and nonprofit private schools that offer 
    graduate programs in behavioral and mental health, programs for the 
    training of physician assistants, and other public or private 
    nonprofit health or educational entities to assist in meeting the 
    costs described in paragraph (2).
        ``(2) Authorized expenditures.--A grant or contract under 
    paragraph (1) may be used by the entity to meet the cost of--
            ``(A) identifying, recruiting, and selecting individuals 
        from disadvantaged backgrounds, as so determined, for education 
        and training in a health profession;
            ``(B) facilitating the entry of such individuals into such 
        a school;
            ``(C) providing counseling, mentoring, or other services 
        designed to assist such individuals to complete successfully 
        their education at such a school;
            ``(D) providing, for a period prior to the entry of such 
        individuals into the regular course of education of such a 
        school, preliminary education and health research training 
        designed to assist them to complete successfully such regular 
        course of education at such a school, or referring such 
        individuals to institutions providing such preliminary 
        education;
            ``(E) publicizing existing sources of financial aid 
        available to students in the education program of such a school 
        or who are undertaking training necessary to qualify them to 
        enroll in such a program;
            ``(F) paying such scholarships as the Secretary may 
        determine for such individuals for any period of health 
        professions education at a health professions school;
            ``(G) paying such stipends as the Secretary may approve for 
        such individuals for any period of education in student-
        enhancement programs (other than regular courses), except that 
        such a stipend may not be provided to an individual for more 
        than 12 months, and such a stipend shall be in an amount 
        determined appropriate by the Secretary (notwithstanding any 
        other provision of law regarding the amount of stipends);
            ``(H) carrying out programs under which such individuals 
        gain experience regarding a career in a field of primary health 
        care through working at facilities of public or private 
        nonprofit community-based providers of primary health services; 
        and
            ``(I) conducting activities to develop a larger and more 
        competitive applicant pool through partnerships with 
        institutions of higher education, school districts, and other 
        community-based entities.
        ``(3) Definition.--In this section, the term `regular course of 
    education of such a school' as used in subparagraph (D) includes a 
    graduate program in behavioral or mental health.
    ``(b) Requirements for Awards.--In making awards to eligible 
entities under subsection (a)(1), the Secretary shall give preference 
to approved applications for programs that involve a comprehensive 
approach by several public or nonprofit private health or educational 
entities to establish, enhance and expand educational programs that 
will result in the development of a competitive applicant pool of 
individuals from disadvantaged backgrounds who desire to pursue health 
professions careers. In considering awards for such a comprehensive 
partnership approach, the following shall apply with respect to the 
entity involved:
        ``(1) The entity shall have a demonstrated commitment to such 
    approach through formal agreements that have common objectives with 
    institutions of higher education, school districts, and other 
    community-based entities.
        ``(2) Such formal agreements shall reflect the coordination of 
    educational activities and support services, increased linkages, 
    and the consolidation of resources within a specific geographic 
    area.
        ``(3) The design of the educational activities involved shall 
    provide for the establishment of a competitive health professions 
    applicant pool of individuals from disadvantaged backgrounds by 
    enhancing the total preparation (academic and social) of such 
    individuals to pursue a health professions career.
        ``(4) The programs or activities under the award shall focus on 
    developing a culturally competent health care workforce that will 
    serve the unserved and underserved populations within the 
    geographic area.
    ``(c) Equitable Allocation of Financial Assistance.--The Secretary, 
to the extent practicable, shall ensure that services and activities 
under subsection (a) are adequately allocated among the various racial 
and ethnic populations who are from disadvantaged backgrounds.
    ``(d) Matching Requirements.--The Secretary may require that an 
entity that applies for a grant or contract under subsection (a), 
provide non-Federal matching funds, as appropriate, to ensure the 
institutional commitment of the entity to the projects funded under the 
grant or contract. As determined by the Secretary, such non-Federal 
matching funds may be provided directly or through donations from 
public or private entities and may be in cash or in-kind, fairly 
evaluated, including plant, equipment, or services.

``SEC. 740. AUTHORIZATION OF APPROPRIATION.

    ``(a) Scholarships.--There are authorized to be appropriated to 
carry out section 737, $37,000,000 for fiscal year 1998, and such sums 
as may be necessary for each of the fiscal years 1999 through 2002. Of 
the amount appropriated in any fiscal year, the Secretary shall ensure 
that not less than 16 percent shall be distributed to schools of 
nursing.
    ``(b) Loan Repayments and Fellowships.--For the purpose of carrying 
out section 738, there is authorized to be appropriated $1,100,000 for 
fiscal year 1998, and such sums as may be necessary for each of the 
fiscal years 1999 through 2002.
    ``(c) Educational Assistance in Health Professions Regarding 
Individuals for Disadvantaged Backgrounds.--For the purpose of grants 
and contracts under section 739(a)(1), there is authorized to be 
appropriated $29,400,000 for fiscal year 1998, and such sums as may be 
necessary for each of the fiscal years 1999 through 2002. The Secretary 
may use not to exceed 20 percent of the amount appropriated for a 
fiscal year under this subsection to provide scholarships under section 
739(a)(2)(F).
    ``(d) Report.--Not later than 6 months after the date of enactment 
of this part, the Secretary shall prepare and submit to the appropriate 
committees of Congress a report concerning the efforts of the Secretary 
to address the need for a representative mix of individuals from 
historically minority health professions schools, or from institutions 
or other entities that historically or by geographic location have a 
demonstrated record of training or educating underrepresented 
minorities, within various health professions disciplines, on peer 
review councils.''.
    (b) Repeal.--
        (1) In general.--Section 795 of the Public Health Service Act 
    (42 U.S.C. 295n) is repealed.
        (2) Nontermination of authority.--The amendments made by this 
    section shall not be construed to terminate agreements that, on the 
    day before the date of enactment of this Act, are in effect 
    pursuant to section 795 of the Public Health Service Act (42 U.S.C. 
    795) as such section existed on such date. Such agreements shall 
    continue in effect in accordance with the terms of the agreements. 
    With respect to compliance with such agreements, any period of 
    practice as a provider of primary health services shall be counted 
    towards the satisfaction of the requirement of practice pursuant to 
    such section 795.
    (c) Conforming Amendments.--Section 481A(c)(3)(D)(i) of the Public 
Health Service Act (42 U.S.C. 287a-2(c)(3)(D)(i)) is amended by 
striking ``section 739'' and inserting ``part B of title VII''.

SEC. 102. TRAINING IN PRIMARY CARE MEDICINE AND DENTISTRY.

    Part C of title VII of the Public Health Service Act (42 U.S.C. 293 
et seq.) is amended--
        (1) in the part heading by striking ``PRIMARY HEALTH CARE'' and 
    inserting ``FAMILY MEDICINE, GENERAL INTERNAL MEDICINE, GENERAL 
    PEDIATRICS, PHYSICIAN ASSISTANTS, GENERAL DENTISTRY, AND PEDIATRIC 
    DENTISTRY'';
        (2) by repealing section 746 (42 U.S.C. 293j);
        (3) in section 747 (42 U.S.C. 293k)--
            (A) by striking the section heading and inserting the 
        following:
``SEC. 747. FAMILY MEDICINE, GENERAL INTERNAL MEDICINE, GENERAL 
PEDIATRICS, GENERAL DENTISTRY, PEDIATRIC DENTISTRY, AND PHYSICIAN 
ASSISTANTS.'';
            (B) in subsection (a)--
                (i) in paragraph (1)--

                    (I) by inserting ``, internal medicine, or 
                pediatrics'' after ``family medicine''; and
                    (II) by inserting before the semicolon the 
                following: ``that emphasizes training for the practice 
                of family medicine, general internal medicine, or 
                general pediatrics (as defined by the Secretary)'';

                (ii) in paragraph (2), by inserting ``, general 
            internal medicine, or general pediatrics'' before the 
            semicolon;
                (iii) in paragraphs (3) and (4), by inserting 
            ``(including geriatrics), general internal medicine or 
            general pediatrics'' after ``family medicine'';
                (iv) in paragraph (3), by striking ``and'' at the end 
            thereof;
                (v) in paragraph (4), by striking the period and 
            inserting a semicolon; and
                (vii) by adding at the end thereof the following new 
            paragraphs:
        ``(5) to meet the costs of projects to plan, develop, and 
    operate or maintain programs for the training of physician 
    assistants (as defined in section 799B), and for the training of 
    individuals who will teach in programs to provide such training; 
    and
        ``(6) to meet the costs of planning, developing, or operating 
    programs, and to provide financial assistance to residents in such 
    programs, of general dentistry or pediatric dentistry.
For purposes of paragraph (6), entities eligible for such grants or 
contracts shall include entities that have programs in dental schools, 
approved residency programs in the general or pediatric practice of 
dentistry, approved advanced education programs in the general or 
pediatric practice of dentistry, or approved residency programs in 
pediatric dentistry.'';
            (C) in subsection (b)--
                (i) in paragraphs (1) and (2)(A), by inserting ``, 
            general internal medicine, or general pediatrics'' after 
            ``family medicine'';
                (ii) in paragraph (2)--

                    (I) in subparagraph (A), by striking ``or'' at the 
                end; and
                    (II) in subparagraph (B), by striking the period 
                and inserting ``; or''; and

                (iii) by adding at the end the following:
        ``(3) Priority in making awards.--In making awards of grants 
    and contracts under paragraph (1), the Secretary shall give 
    priority to any qualified applicant for such an award that proposes 
    a collaborative project between departments of primary care.'';
            (D) by redesignating subsections (c) and (d) as subsections 
        (d) and (e), respectively;
            (E) by inserting after subsection (b), the following new 
        subsection:
    ``(c) Priority.--
        ``(1) In general.--With respect to programs for the training of 
    interns or residents, the Secretary shall give priority in awarding 
    grants under this section to qualified applicants that have a 
    record of training the greatest percentage of providers, or that 
    have demonstrated significant improvements in the percentage of 
    providers, which enter and remain in primary care practice or 
    general or pediatric dentistry.
        ``(2) Disadvantaged individuals.--With respect to programs for 
    the training of interns, residents, or physician assistants, the 
    Secretary shall give priority in awarding grants under this section 
    to qualified applicants that have a record of training individuals 
    who are from disadvantaged backgrounds (including racial and ethnic 
    minorities underrepresented among primary care practice or general 
    or pediatric dentistry).
        ``(3) Special consideration.--In awarding grants under this 
    section the Secretary shall give special consideration to projects 
    which prepare practitioners to care for underserved populations and 
    other high risk groups such as the elderly, individuals with HIV-
    AIDS, substance abusers, homeless, and victims of domestic 
    violence.''; and
            (F) in subsection (e) (as so redesignated by subparagraph 
        (D))--
                (i) in paragraph (1), by striking ``$54,000,000'' and 
            all that follows and inserting ``$78,300,000 for fiscal 
            year 1998, and such sums as may be necessary for each of 
            the fiscal years 1999 through 2002.''; and
                (ii) by striking paragraph (2) and inserting the 
            following:
        ``(2) Allocation.--
            ``(A) In general.--Of the amounts appropriated under 
        paragraph (1) for a fiscal year, the Secretary shall make 
        available--
                ``(i) not less than $49,300,000 for awards of grants 
            and contracts under subsection (a) to programs of family 
            medicine, of which not less than $8,600,000 shall be made 
            available for awards of grants and contracts under 
            subsection (b) for family medicine academic administrative 
            units;
                ``(ii) not less than $17,700,000 for awards of grants 
            and contracts under subsection (a) to programs of general 
            internal medicine and general pediatrics;
                ``(iii) not less than $6,800,000 for awards of grants 
            and contracts under subsection (a) to programs relating to 
            physician assistants; and
                ``(iv) not less than $4,500,000 for awards of grants 
            and contracts under subsection (a) to programs of general 
            or pediatric dentistry.
            ``(B) Ratable reduction.--If amounts appropriated under 
        paragraph (1) for any fiscal year are less than the amount 
        required to comply with subparagraph (A), the Secretary shall 
        ratably reduce the amount to be made available under each of 
        clauses (i) through (iv) of such subparagraph accordingly.''; 
        and
        (4) by repealing sections 748 through 752 (42 U.S.C. 293l 
    through 293p) and inserting the following:
``SEC. 748. ADVISORY COMMITTEE ON TRAINING IN PRIMARY CARE MEDICINE AND 
DENTISTRY.
    ``(a) Establishment.--The Secretary shall establish an advisory 
committee to be known as the Advisory Committee on Training in Primary 
Care Medicine and Dentistry (in this section referred to as the 
`Advisory Committee').
    ``(b) Composition.--
        ``(1) In general.--The Secretary shall determine the 
    appropriate number of individuals to serve on the Advisory 
    Committee. Such individuals shall not be officers or employees of 
    the Federal Government.
        ``(2) Appointment.--Not later than 90 days after the date of 
    enactment of this Act, the Secretary shall appoint the members of 
    the Advisory Committee from among individuals who are health 
    professionals. In making such appointments, the Secretary shall 
    ensure a fair balance between the health professions, that at least 
    75 percent of the members of the Advisory Committee are health 
    professionals, a broad geographic representation of members and a 
    balance between urban and rural members. Members shall be appointed 
    based on their competence, interest, and knowledge of the mission 
    of the profession involved.
        ``(3) Minority representation.--In appointing the members of 
    the Advisory Committee under paragraph (2), the Secretary shall 
    ensure the adequate representation of women and minorities.
    ``(c) Terms.--
        ``(1) In general.--A member of the Advisory Committee shall be 
    appointed for a term of 3 years, except that of the members first 
    appointed--
            ``(A) \1/3\ of such members shall serve for a term of 1 
        year;
            ``(B) \1/3\ of such members shall serve for a term of 2 
        years; and
            ``(C) \1/3\ of such members shall serve for a term of 3 
        years.
        ``(2) Vacancies.--
            ``(A) In general.--A vacancy on the Advisory Committee 
        shall be filled in the manner in which the original appointment 
        was made and shall be subject to any conditions which applied 
        with respect to the original appointment.
            ``(B) Filling unexpired term.--An individual chosen to fill 
        a vacancy shall be appointed for the unexpired term of the 
        member replaced.
    ``(d) Duties.--The Advisory Committee shall--
        ``(1) provide advice and recommendations to the Secretary 
    concerning policy and program development and other matters of 
    significance concerning the activities under section 747; and
        ``(2) not later than 3 years after the date of enactment of 
    this section, and annually thereafter, prepare and submit to the 
    Secretary, and the Committee on Labor and Human Resources of the 
    Senate, and the Committee on Commerce of the House of 
    Representatives, a report describing the activities of the 
    Committee, including findings and recommendations made by the 
    Committee concerning the activities under section 747.
    ``(e) Meetings and Documents.--
        ``(1) Meetings.--The Advisory Committee shall meet not less 
    than 2 times each year. Such meetings shall be held jointly with 
    other related entities established under this title where 
    appropriate.
        ``(2) Documents.--Not later than 14 days prior to the convening 
    of a meeting under paragraph (1), the Advisory Committee shall 
    prepare and make available an agenda of the matters to be 
    considered by the Advisory Committee at such meeting. At any such 
    meeting, the Advisory Council shall distribute materials with 
    respect to the issues to be addressed at the meeting. Not later 
    than 30 days after the adjourning of such a meeting, the Advisory 
    Committee shall prepare and make available a summary of the meeting 
    and any actions taken by the Committee based upon the meeting.
    ``(f) Compensation and Expenses.--
        ``(1) Compensation.--Each member of the Advisory Committee 
    shall be compensated at a rate equal to the daily equivalent of the 
    annual rate of basic pay prescribed for level IV of the Executive 
    Schedule under section 5315 of title 5, United States Code, for 
    each day (including travel time) during which such member is 
    engaged in the performance of the duties of the Committee.
        ``(2) Expenses.--The members of the Advisory Committee shall be 
    allowed travel expenses, including per diem in lieu of subsistence, 
    at rates authorized for employees of agencies under subchapter I of 
    chapter 57 of title 5, United States Code, while away from their 
    homes or regular places of business in the performance of services 
    for the Committee.
    ``(g) FACA.--The Federal Advisory Committee Act shall apply to the 
Advisory Committee under this section only to the extent that the 
provisions of such Act do not conflict with the requirements of this 
section.''.

SEC. 103. INTERDISCIPLINARY, COMMUNITY-BASED LINKAGES.

    Part D of title VII of the Public Health Service Act (42 U.S.C. 294 
et seq.) is amended to read as follows:

         ``PART D--INTERDISCIPLINARY, COMMUNITY-BASED LINKAGES

``SEC. 750. GENERAL PROVISIONS.

    ``(a) Collaboration.--To be eligible to receive assistance under 
this part, an academic institution shall use such assistance in 
collaboration with 2 or more disciplines.
    ``(b) Activities.--An entity shall use assistance under this part 
to carry out innovative demonstration projects for strategic workforce 
supplementation activities as needed to meet national goals for 
interdisciplinary, community-based linkages. Such assistance may be 
used consistent with this part--
        ``(1) to develop and support training programs;
        ``(2) for faculty development;
        ``(3) for model demonstration programs;
        ``(4) for the provision of stipends for fellowship trainees;
        ``(5) to provide technical assistance; and
        ``(6) for other activities that will produce outcomes 
    consistent with the purposes of this part.

``SEC. 751. AREA HEALTH EDUCATION CENTERS.

    ``(a) Authority for Provision of Financial Assistance.--
        ``(1) Assistance for planning, development, and operation of 
    programs.--
            ``(A) In general.--The Secretary shall award grants to and 
        enter into contracts with schools of medicine and osteopathic 
        medicine, and incorporated consortia made up of such schools, 
        or the parent institutions of such schools, for projects for 
        the planning, development and operation of area health 
        education center programs that--
                ``(i) improve the recruitment, distribution, supply, 
            quality and efficiency of personnel providing health 
            services in underserved rural and urban areas and personnel 
            providing health services to populations having 
            demonstrated serious unmet health care needs;
                ``(ii) increase the number of primary care physicians 
            and other primary care providers who provide services in 
            underserved areas through the offering of an educational 
            continuum of health career recruitment through clinical 
            education concerning underserved areas in a comprehensive 
            health workforce strategy;
                ``(iii) carry out recruitment and health career 
            awareness programs to recruit individuals from underserved 
            areas and under-represented populations, including minority 
            and other elementary or secondary students, into the health 
            professions;
                ``(iv) prepare individuals to more effectively provide 
            health services to underserved areas or underserved 
            populations through field placements, preceptorships, the 
            conduct of or support of community-based primary care 
            residency programs, and agreements with community-based 
            organizations such as community health centers, migrant 
            health centers, Indian health centers, public health 
            departments and others;
                ``(v) conduct health professions education and training 
            activities for students of health professions schools and 
            medical residents;
                ``(vi) conduct at least 10 percent of medical student 
            required clinical education at sites remote to the primary 
            teaching facility of the contracting institution; and
                ``(vii) provide information dissemination and 
            educational support to reduce professional isolation, 
            increase retention, enhance the practice environment, and 
            improve health care through the timely dissemination of 
            research findings using relevant resources.
            ``(B) Other eligible entities.--With respect to a State in 
        which no area health education center program is in operation, 
        the Secretary may award a grant or contract under subparagraph 
        (A) to a school of nursing.
            ``(C) Project terms.--
                ``(i) In general.--Except as provided in clause (ii), 
            the period during which payments may be made under an award 
            under subparagraph (A) may not exceed--

                    ``(I) in the case of a project, 12 years or
                    ``(II) in the case of a center within a project, 6 
                years.

                ``(ii) Exception.--The periods described in clause (i) 
            shall not apply to projects that have completed the initial 
            period of Federal funding under this section and that 
            desire to compete for model awards under paragraph (2)(A).
        ``(2) Assistance for operation of model programs.--
            ``(A) In general.--In the case of any entity described in 
        paragraph (1)(A) that--
                ``(i) has previously received funds under this section;
                ``(ii) is operating an area health education center 
            program; and
                ``(iii) is no longer receiving financial assistance 
            under paragraph (1);
        the Secretary may provide financial assistance to such entity 
        to pay the costs of operating and carrying out the requirements 
        of the program as described in paragraph (1).
            ``(B) Matching requirement.--With respect to the costs of 
        operating a model program under subparagraph (A), an entity, to 
        be eligible for financial assistance under subparagraph (A), 
        shall make available (directly or through contributions from 
        State, county or municipal governments, or the private sector) 
        recurring non-Federal contributions in cash toward such costs 
        in an amount that is equal to not less than 50 percent of such 
        costs.
            ``(C) Limitation.--The aggregate amount of awards provided 
        under subparagraph (A) to entities in a State for a fiscal year 
        may not exceed the lesser of--
                ``(i) $2,000,000; or
                ``(ii) an amount equal to the product of $250,000 and 
            the aggregate number of area health education centers 
            operated in the State by such entities.
    ``(b) Requirements for Centers.--
        ``(1) General requirement.--Each area health education center 
    that receives funds under this section shall encourage the 
    regionalization of health professions schools through the 
    establishment of partnerships with community-based organizations.
        ``(2) Service area.--Each area health education center that 
    receives funds under this section shall specifically designate a 
    geographic area or medically underserved population to be served by 
    the center. Such area or population shall be in a location removed 
    from the main location of the teaching facilities of the schools 
    participating in the program with such center.
        ``(3) Other requirements.--Each area health education center 
    that receives funds under this section shall--
            ``(A) assess the health personnel needs of the area to be 
        served by the center and assist in the planning and development 
        of training programs to meet such needs;
            ``(B) arrange and support rotations for students and 
        residents in family medicine, general internal medicine or 
        general pediatrics, with at least one center in each program 
        being affiliated with or conducting a rotating osteopathic 
        internship or medical residency training program in family 
        medicine (including geriatrics), general internal medicine 
        (including geriatrics), or general pediatrics in which no fewer 
        than 4 individuals are enrolled in first-year positions;
            ``(C) conduct and participate in interdisciplinary training 
        that involves physicians and other health personnel including, 
        where practicable, public health professionals, physician 
        assistants, nurse practitioners, nurse midwives, and behavioral 
        and mental health providers; and
            ``(D) have an advisory board, at least 75 percent of the 
        members of which shall be individuals, including both health 
        service providers and consumers, from the area served by the 
        center.
    ``(c) Certain Provisions Regarding Funding.--
        ``(1) Allocation to center.--Not less than 75 percent of the 
    total amount of Federal funds provided to an entity under this 
    section shall be allocated by an area health education center 
    program to the area health education center. Such entity shall 
    enter into an agreement with each center for purposes of specifying 
    the allocation of such 75 percent of funds.
        ``(2) Operating costs.--With respect to the operating costs of 
    the area health education center program of an entity receiving 
    funds under this section, the entity shall make available (directly 
    or through contributions from State, county or municipal 
    governments, or the private sector) non-Federal contributions in 
    cash toward such costs in an amount that is equal to not less than 
    50 percent of such costs, except that the Secretary may grant a 
    waiver for up to 75 percent of the amount of the required non-
    Federal match in the first 3 years in which an entity receives 
    funds under this section.

``SEC. 752. HEALTH EDUCATION AND TRAINING CENTERS.

    ``(a) In General.--To be eligible for funds under this section, a 
health education training center shall be an entity otherwise eligible 
for funds under section 751 that--
        ``(1) addresses the persistent and severe unmet health care 
    needs in States along the border between the United States and 
    Mexico and in the State of Florida, and in other urban and rural 
    areas with populations with serious unmet health care needs;
        ``(2) establishes an advisory board comprised of health service 
    providers, educators and consumers from the service area;
        ``(3) conducts training and education programs for health 
    professions students in these areas;
        ``(4) conducts training in health education services, including 
    training to prepare community health workers; and
        ``(5) supports health professionals (including nursing) 
    practicing in the area through educational and other services.
    ``(b) Allocation of Funds.--The Secretary shall make available 50 
percent of the amounts appropriated for each fiscal year under section 
752 for the establishment or operation of health education training 
centers through projects in States along the border between the United 
States and Mexico and in the State of Florida.

``SEC. 753. EDUCATION AND TRAINING RELATING TO GERIATRICS.

    ``(a) Geriatric Education Centers.--
        ``(1) In general.--The Secretary shall award grants or 
    contracts under this section to entities described in paragraphs 
    (1), (3), or (4) of section 799B, and section 853(2), for the 
    establishment or operation of geriatric education centers.
        ``(2) Requirements.--A geriatric education center is a program 
    that--
            ``(A) improves the training of health professionals in 
        geriatrics, including geriatric residencies, traineeships, or 
        fellowships;
            ``(B) develops and disseminates curricula relating to the 
        treatment of the health problems of elderly individuals;
            ``(C) supports the training and retraining of faculty to 
        provide instruction in geriatrics;
            ``(D) supports continuing education of health professionals 
        who provide geriatric care; and
            ``(E) provides students with clinical training in 
        geriatrics in nursing homes, chronic and acute disease 
        hospitals, ambulatory care centers, and senior centers.
    ``(b) Geriatric Training Regarding Physicians and Dentists.--
        ``(1) In general.--The Secretary may make grants to, and enter 
    into contracts with, schools of medicine, schools of osteopathic 
    medicine, teaching hospitals, and graduate medical education 
    programs, for the purpose of providing support (including 
    residencies, traineeships, and fellowships) for geriatric training 
    projects to train physicians, dentists and behavioral and mental 
    health professionals who plan to teach geriatric medicine, 
    geriatric behavioral or mental health, or geriatric dentistry.
        ``(2) Requirements.--Each project for which a grant or contract 
    is made under this subsection shall--
            ``(A) be staffed by full-time teaching physicians who have 
        experience or training in geriatric medicine or geriatric 
        behavioral or mental health;
            ``(B) be staffed, or enter into an agreement with an 
        institution staffed by full-time or part-time teaching dentists 
        who have experience or training in geriatric dentistry;
            ``(C) be staffed, or enter into an agreement with an 
        institution staffed by full-time or part-time teaching 
        behavioral mental health professionals who have experience or 
        training in geriatric behavioral or mental health;
            ``(D) be based in a graduate medical education program in 
        internal medicine or family medicine or in a department of 
        geriatrics or behavioral or mental health;
            ``(E) provide training in geriatrics and exposure to the 
        physical and mental disabilities of elderly individuals through 
        a variety of service rotations, such as geriatric consultation 
        services, acute care services, dental services, geriatric 
        behavioral or mental health units, day and home care programs, 
        rehabilitation services, extended care facilities, geriatric 
        ambulatory care and comprehensive evaluation units, and 
        community care programs for elderly mentally retarded 
        individuals; and
            ``(F) provide training in geriatrics through one or both of 
        the training options described in subparagraphs (A) and (B) of 
        paragraph (3).
        ``(3) Training options.--The training options referred to in 
    subparagraph (F) of paragraph (2) shall be as follows:
            ``(A) A 1-year retraining program in geriatrics for--
                ``(i) physicians who are faculty members in departments 
            of internal medicine, family medicine, gynecology, 
            geriatrics, and behavioral or mental health at schools of 
            medicine and osteopathic medicine;
                ``(ii) dentists who are faculty members at schools of 
            dentistry or at hospital departments of dentistry; and
                ``(iii) behavioral or mental health professionals who 
            are faculty members in departments of behavioral or mental 
            health; and
            ``(B) A 2-year internal medicine or family medicine 
        fellowship program providing emphasis in geriatrics, which 
        shall be designed to provide training in clinical geriatrics 
        and geriatrics research for--
                ``(i) physicians who have completed graduate medical 
            education programs in internal medicine, family medicine, 
            behavioral or mental health, neurology, gynecology, or 
            rehabilitation medicine;
                ``(ii) dentists who have demonstrated a commitment to 
            an academic career and who have completed postdoctoral 
            dental training, including postdoctoral dental education 
            programs or who have relevant advanced training or 
            experience; and
                ``(iii) behavioral or mental health professionals who 
            have completed graduate medical education programs in 
            behavioral or mental health.
        ``(4) Definitions.--For purposes of this subsection:
            ``(A) The term `graduate medical education program' means a 
        program sponsored by a school of medicine, a school of 
        osteopathic medicine, a hospital, or a public or private 
        institution that--
                ``(i) offers postgraduate medical training in the 
            specialties and subspecialties of medicine; and
                ``(ii) has been accredited by the Accreditation Council 
            for Graduate Medical Education or the American Osteopathic 
            Association through its Committee on Postdoctoral Training.
            ``(B) The term `post-doctoral dental education program' 
        means a program sponsored by a school of dentistry, a hospital, 
        or a public or private institution that--
                ``(i) offers post-doctoral training in the specialties 
            of dentistry, advanced education in general dentistry, or a 
            dental general practice residency; and
                ``(ii) has been accredited by the Commission on Dental 
            Accreditation.
    ``(c) Geriatric Faculty Fellowships.--
        ``(1) Establishment of program.--The Secretary shall establish 
    a program to provide Geriatric Academic Career Awards to eligible 
    individuals to promote the career development of such individuals 
    as academic geriatricians.
        ``(2) Eligible individuals.--To be eligible to receive an Award 
    under paragraph (1), an individual shall--
            ``(A) be board certified or board eligible in internal 
        medicine, family practice, or psychiatry;
            ``(B) have completed an approved fellowship program in 
        geriatrics; and
            ``(C) have a junior faculty appointment at an accredited 
        (as determined by the Secretary) school of medicine or 
        osteopathic medicine.
        ``(3) Limitations.--No Award under paragraph (1) may be made to 
    an eligible individual unless the individual--
            ``(A) has submitted to the Secretary an application, at 
        such time, in such manner, and containing such information as 
        the Secretary may require, and the Secretary has approved such 
        application; and
            ``(B) provides, in such form and manner as the Secretary 
        may require, assurances that the individual will meet the 
        service requirement described in subsection (e).
        ``(4) Amount and term.--
            ``(A) Amount.--The amount of an Award under this section 
        shall equal $50,000 for fiscal year 1998, adjusted for 
        subsequent fiscal years to reflect the increase in the Consumer 
        Price Index.
            ``(B) Term.--The term of any Award made under this 
        subsection shall not exceed 5 years.
        ``(5) Service requirement.--An individual who receives an Award 
    under this subsection shall provide training in clinical 
    geriatrics, including the training of interdisciplinary teams of 
    health care professionals. The provision of such training shall 
    constitute at least 75 percent of the obligations of such 
    individual under the Award.
``SEC. 754. QUENTIN N. BURDICK PROGRAM FOR RURAL INTERDISCIPLINARY 
TRAINING.
    ``(a) Grants.--The Secretary may make grants or contracts under 
this section to help entities fund authorized activities under an 
application approved under subsection (c).
    ``(b) Use of Amounts.--
        ``(1) In general.--Amounts provided under subsection (a) shall 
    be used by the recipients to fund interdisciplinary training 
    projects designed to--
            ``(A) use new and innovative methods to train health care 
        practitioners to provide services in rural areas;
            ``(B) demonstrate and evaluate innovative interdisciplinary 
        methods and models designed to provide access to cost-effective 
        comprehensive health care;
            ``(C) deliver health care services to individuals residing 
        in rural areas;
            ``(D) enhance the amount of relevant research conducted 
        concerning health care issues in rural areas; and
            ``(E) increase the recruitment and retention of health care 
        practitioners from rural areas and make rural practice a more 
        attractive career choice for health care practitioners.
        ``(2) Methods.--A recipient of funds under subsection (a) may 
    use various methods in carrying out the projects described in 
    paragraph (1), including--
            ``(A) the distribution of stipends to students of eligible 
        applicants;
            ``(B) the establishment of a post-doctoral fellowship 
        program;
            ``(C) the training of faculty in the economic and 
        logistical problems confronting rural health care delivery 
        systems; or
            ``(D) the purchase or rental of transportation and 
        telecommunication equipment where the need for such equipment 
        due to unique characteristics of the rural area is demonstrated 
        by the recipient.
        ``(3) Administration.--
            ``(A) In general.--An applicant shall not use more than 10 
        percent of the funds made available to such applicant under 
        subsection (a) for administrative expenses.
            ``(B) Training.--Not more than 10 percent of the 
        individuals receiving training with funds made available to an 
        applicant under subsection (a) shall be trained as doctors of 
        medicine or doctors of osteopathy.
            ``(C) Limitation.--An institution that receives a grant 
        under this section shall use amounts received under such grant 
        to supplement, not supplant, amounts made available by such 
        institution for activities of the type described in subsection 
        (b)(1) in the fiscal year preceding the year for which the 
        grant is received.
    ``(c) Applications.--Applications submitted for assistance under 
this section shall--
        ``(1) be jointly submitted by at least two eligible applicants 
    with the express purpose of assisting individuals in academic 
    institutions in establishing long-term collaborative relationships 
    with health care providers in rural areas; and
        ``(2) designate a rural health care agency or agencies for 
    clinical treatment or training, including hospitals, community 
    health centers, migrant health centers, rural health clinics, 
    community behavioral and mental health centers, long-term care 
    facilities, Native Hawaiian health centers, or facilities operated 
    by the Indian Health Service or an Indian tribe or tribal 
    organization or Indian organization under a contract with the 
    Indian Health Service under the Indian Self-Determination Act.
    ``(d) Definitions.--For the purposes of this section, the term 
`rural' means geographic areas that are located outside of standard 
metropolitan statistical areas.

``SEC. 755. ALLIED HEALTH AND OTHER DISCIPLINES.

    ``(a) In General.--The Secretary may make grants or contracts under 
this section to help entities fund activities of the type described in 
subsection (b).
    ``(b) Activities.--Activities of the type described in this 
subsection include the following:
        ``(1) Assisting entities in meeting the costs associated with 
    expanding or establishing programs that will increase the number of 
    individuals trained in allied health professions. Programs and 
    activities funded under this paragraph may include--
            ``(A) those that expand enrollments in allied health 
        professions with the greatest shortages or whose services are 
        most needed by the elderly;
            ``(B) those that provide rapid transition training programs 
        in allied health fields to individuals who have baccalaureate 
        degrees in health-related sciences;
            ``(C) those that establish community-based allied health 
        training programs that link academic centers to rural clinical 
        settings;
            ``(D) those that provide career advancement training for 
        practicing allied health professionals;
            ``(E) those that expand or establish clinical training 
        sites for allied health professionals in medically underserved 
        or rural communities in order to increase the number of 
        individuals trained;
            ``(F) those that develop curriculum that will emphasize 
        knowledge and practice in the areas of prevention and health 
        promotion, geriatrics, long-term care, home health and hospice 
        care, and ethics;
            ``(G) those that expand or establish interdisciplinary 
        training programs that promote the effectiveness of allied 
        health practitioners in geriatric assessment and the 
        rehabilitation of the elderly;
            ``(H) those that expand or establish demonstration centers 
        to emphasize innovative models to link allied health clinical 
        practice, education, and research;
            ``(I) those that provide financial assistance (in the form 
        of traineeships) to students who are participants in any such 
        program; and
                ``(i) who plan to pursue a career in an allied health 
            field that has a demonstrated personnel shortage; and
                ``(ii) who agree upon completion of the training 
            program to practice in a medically underserved community;
        that shall be utilized to assist in the payment of all or part 
        of the costs associated with tuition, fees and such other 
        stipends as the Secretary may consider necessary; and
            ``(J) those to meet the costs of projects to plan, develop, 
        and operate or maintain graduate programs in behavioral and 
        mental health practice.
        ``(2) Planning and implementing projects in preventive and 
    primary care training for podiatric physicians in approved or 
    provisionally approved residency programs that shall provide 
    financial assistance in the form of traineeships to residents who 
    participate in such projects and who plan to specialize in primary 
    care.
        ``(3) Carrying out demonstration projects in which 
    chiropractors and physicians collaborate to identify and provide 
    effective treatment for spinal and lower-back conditions.
``SEC. 756. ADVISORY COMMITTEE ON INTERDISCIPLINARY, COMMUNITY-BASED 
LINKAGES.
    ``(a) Establishment.--The Secretary shall establish an advisory 
committee to be known as the Advisory Committee on Interdisciplinary, 
Community-Based Linkages (in this section referred to as the `Advisory 
Committee').
    ``(b) Composition.--
        ``(1) In general.--The Secretary shall determine the 
    appropriate number of individuals to serve on the Advisory 
    Committee. Such individuals shall not be officers or employees of 
    the Federal Government.
        ``(2) Appointment.--Not later than 90 days after the date of 
    enactment of this Act, the Secretary shall appoint the members of 
    the Advisory Committee from among individuals who are health 
    professionals from schools of the types described in sections 
    751(a)(1)(A), 751(a)(1)(B), 753(b), 754(3)(A), and 755(b). In 
    making such appointments, the Secretary shall ensure a fair balance 
    between the health professions, that at least 75 percent of the 
    members of the Advisory Committee are health professionals, a broad 
    geographic representation of members and a balance between urban 
    and rural members. Members shall be appointed based on their 
    competence, interest, and knowledge of the mission of the 
    profession involved.
        ``(3) Minority representation.--In appointing the members of 
    the Advisory Committee under paragraph (2), the Secretary shall 
    ensure the adequate representation of women and minorities.
    ``(c) Terms.--
        ``(1) In general.--A member of the Advisory Committee shall be 
    appointed for a term of 3 years, except that of the members first 
    appointed--
            ``(A) \1/3\ of the members shall serve for a term of 1 
        year;
            ``(B) \1/3\ of the members shall serve for a term of 2 
        years; and
            ``(C) \1/3\ of the members shall serve for a term of 3 
        years.
        ``(2) Vacancies.--
            ``(A) In general.--A vacancy on the Advisory Committee 
        shall be filled in the manner in which the original appointment 
        was made and shall be subject to any conditions which applied 
        with respect to the original appointment.
            ``(B) Filling unexpired term.--An individual chosen to fill 
        a vacancy shall be appointed for the unexpired term of the 
        member replaced.
    ``(d) Duties.--The Advisory Committee shall--
        ``(1) provide advice and recommendations to the Secretary 
    concerning policy and program development and other matters of 
    significance concerning the activities under this part; and
        ``(2) not later than 3 years after the date of enactment of 
    this section, and annually thereafter, prepare and submit to the 
    Secretary, and the Committee on Labor and Human Resources of the 
    Senate, and the Committee on Commerce of the House of 
    Representatives, a report describing the activities of the 
    Committee, including findings and recommendations made by the 
    Committee concerning the activities under this part.
    ``(e) Meetings and Documents.--
        ``(1) Meetings.--The Advisory Committee shall meet not less 
    than 3 times each year. Such meetings shall be held jointly with 
    other related entities established under this title where 
    appropriate.
        ``(2) Documents.--Not later than 14 days prior to the convening 
    of a meeting under paragraph (1), the Advisory Committee shall 
    prepare and make available an agenda of the matters to be 
    considered by the Advisory Committee at such meeting. At any such 
    meeting, the Advisory Council shall distribute materials with 
    respect to the issues to be addressed at the meeting. Not later 
    than 30 days after the adjourning of such a meeting, the Advisory 
    Committee shall prepare and make available a summary of the meeting 
    and any actions taken by the Committee based upon the meeting.
    ``(f) Compensation and Expenses.--
        ``(1) Compensation.--Each member of the Advisory Committee 
    shall be compensated at a rate equal to the daily equivalent of the 
    annual rate of basic pay prescribed for level IV of the Executive 
    Schedule under section 5315 of title 5, United States Code, for 
    each day (including travel time) during which such member is 
    engaged in the performance of the duties of the Committee.
        ``(2) Expenses.--The members of the Advisory Committee shall be 
    allowed travel expenses, including per diem in lieu of subsistence, 
    at rates authorized for employees of agencies under subchapter I of 
    chapter 57 of title 5, United States Code, while away from their 
    homes or regular places of business in the performance of services 
    for the Committee.
    ``(g) FACA.--The Federal Advisory Committee Act shall apply to the 
Advisory Committee under this section only to the extent that the 
provisions of such Act do not conflict with the requirements of this 
section.

``SEC. 757. AUTHORIZATION OF APPROPRIATIONS.

    ``(a) In General.--There are authorized to be appropriated to carry 
out this part, $55,600,000 for fiscal year 1998, and such sums as may 
be necessary for each of the fiscal years 1999 through 2002.
    ``(b) Allocation.--
        ``(1) In general.--Of the amounts appropriated under subsection 
    (a) for a fiscal year, the Secretary shall make available--
            ``(A) not less than $28,587,000 for awards of grants and 
        contracts under section 751;
            ``(B) not less than $3,765,000 for awards of grants and 
        contracts under section 752, of which not less than 50 percent 
        of such amount shall be made available for centers described in 
        subsection (a)(1) of such section; and
            ``(C) not less than $22,631,000 for awards of grants and 
        contracts under sections 753, 754, and 755.
        ``(2) Ratable reduction.--If amounts appropriated under 
    subsection (a) for any fiscal year are less than the amount 
    required to comply with paragraph (1), the Secretary shall ratably 
    reduce the amount to be made available under each of subparagraphs 
    (A) through (C) of such paragraph accordingly.
        ``(3) Increase in amounts.--If amounts appropriated for a 
    fiscal year under subsection (a) exceed the amount authorized under 
    such subsection for such fiscal year, the Secretary may increase 
    the amount to be made available for programs and activities under 
    this part without regard to the amounts specified in each of 
    subparagraphs (A) through (C) of paragraph (2).
    ``(c) Obligation of Certain Amounts.--
        ``(1) Area health education center programs.--Of the amounts 
    made available under subsection (b)(1)(A) for each fiscal year, the 
    Secretary may obligate for awards under section 751(a)(2)--
            ``(A) not less than 23 percent of such amounts in fiscal 
        year 1998;
            ``(B) not less than 30 percent of such amounts in fiscal 
        year 1999;
            ``(C) not less than 35 percent of such amounts in fiscal 
        year 2000;
            ``(D) not less than 40 percent of such amounts in fiscal 
        year 2001; and
            ``(E) not less than 45 percent of such amounts in fiscal 
        year 2002.
        ``(2) Sense of congress.--It is the sense of the Congress 
    that--
            ``(A) every State have an area health education center 
        program in effect under this section; and
            ``(B) the ratio of Federal funding for the model program 
        under section 751(a)(2) should increase over time and that 
        Federal funding for other awards under this section shall 
        decrease so that the national program will become entirely 
        comprised of programs that are funded at least 50 percent by 
        State and local partners.''.
    SEC. 104. HEALTH PROFESSIONS WORKFORCE INFORMATION AND ANALYSIS.
    (a) In General.--Part E of title VII of the Public Health Service 
Act (42 U.S.C. 294n et seq.) is amended to read as follows:

        ``PART E--HEALTH PROFESSIONS AND PUBLIC HEALTH WORKFORCE

   ``Subpart 1--Health Professions Workforce Information and Analysis

``SEC. 761. HEALTH PROFESSIONS WORKFORCE INFORMATION AND ANALYSIS.
    ``(a) Purpose.--It is the purpose of this section to--
        ``(1) provide for the development of information describing the 
    health professions workforce and the analysis of workforce related 
    issues; and
        ``(2) provide necessary information for decision-making 
    regarding future directions in health professions and nursing 
    programs in response to societal and professional needs.
    ``(b) Grants or Contracts.--The Secretary may award grants or 
contracts to State or local governments, health professions schools, 
schools of nursing, academic health centers, community-based health 
facilities, and other appropriate public or private nonprofit entities 
to provide for--
        ``(1) targeted information collection and analysis activities 
    related to the purposes described in subsection (a);
        ``(2) research on high priority workforce questions;
        ``(3) the development of a non-Federal analytic and research 
    infrastructure related to the purposes described in subsection (a); 
    and
        ``(4) the conduct of program evaluation and assessment.
    ``(c) Authorization of Appropriations.--
        ``(1) In general.--There are authorized to be appropriated to 
    carry out this section, $750,000 for fiscal year 1998, and such 
    sums as may be necessary for each of the fiscal years 1999 through 
    2002.
        ``(2) Reservation.--Of the amounts appropriated under 
    subsection (a) for a fiscal year, the Secretary shall reserve not 
    less than $600,000 for conducting health professions research and 
    for carrying out data collection and analysis in accordance with 
    section 792.
        ``(3) Availability of additional funds.--Amounts otherwise 
    appropriated for programs or activities under this title may be 
    used for activities under subsection (b) with respect to the 
    programs or activities from which such amounts were made 
    available.''.
    (b) Council on Graduate Medical Education.--Section 301 of the 
Health Professions Education Extension Amendments of 1992 (Public Law 
102-408) is amended--
        (1) in subsection (j), by striking ``1995'' and inserting 
    ``2002'';
        (2) in subsection (k), by striking ``1995'' and inserting 
    ``2002'';
        (3) by adding at the end thereof the following new subsection:
    ``(l) Funding.--Amounts otherwise appropriated under this title may 
be utilized by the Secretary to support the activities of the 
Council.'';
        (4) by transferring such section to part E of title VII of the 
    Public Health Service Act (as amended by subsection (a));
        (5) by redesignating such section as section 762; and
        (6) by inserting such section after section 761.

SEC. 105. PUBLIC HEALTH WORKFORCE DEVELOPMENT.

    Part E of title VII of the Public Health Service Act (as amended by 
section 104) is further amended by adding at the end the following:

                  ``Subpart 2--Public Health Workforce

``SEC. 765. GENERAL PROVISIONS.

    ``(a) In General.--The Secretary may award grants or contracts to 
eligible entities to increase the number of individuals in the public 
health workforce, to enhance the quality of such workforce, and to 
enhance the ability of the workforce to meet national, State, and local 
health care needs.
    ``(b) Eligibility.--To be eligible to receive a grant or contract 
under subsection (a) an entity shall--
        ``(1) be--
            ``(A) a health professions school, including an accredited 
        school or program of public health, health administration, 
        preventive medicine, or dental public health or a school 
        providing health management programs;
            ``(B) an academic health center;
            ``(C) a State or local government; or
            ``(D) any other appropriate public or private nonprofit 
        entity; and
        ``(2) prepare and submit to the Secretary an application at 
    such time, in such manner, and containing such information as the 
    Secretary may require.
    ``(c) Preference.--In awarding grants or contracts under this 
section the Secretary may grant a preference to entities--
        ``(1) serving individuals who are from disadvantaged 
    backgrounds (including underrepresented racial and ethnic 
    minorities); and
        ``(2) graduating large proportions of individuals who serve in 
    underserved communities.
    ``(d) Activities.--Amounts provided under a grant or contract 
awarded under this section may be used for--
        ``(1) the costs of planning, developing, or operating 
    demonstration training programs;
        ``(2) faculty development;
        ``(3) trainee support;
        ``(4) technical assistance;
        ``(5) to meet the costs of projects--
            ``(A) to plan and develop new residency training programs 
        and to maintain or improve existing residency training programs 
        in preventive medicine and dental public health, that have 
        available full-time faculty members with training and 
        experience in the fields of preventive medicine and dental 
        public health; and
            ``(B) to provide financial assistance to residency trainees 
        enrolled in such programs;
        ``(6) the retraining of existing public health workers as well 
    as for increasing the supply of new practitioners to address 
    priority public health, preventive medicine, public health 
    dentistry, and health administration needs;
        ``(7) preparing public health professionals for employment at 
    the State and community levels; or
        ``(8) other activities that may produce outcomes that are 
    consistent with the purposes of this section.
    ``(e) Traineeships.--
        ``(1) In general.--With respect to amounts used under this 
    section for the training of health professionals, such training 
    programs shall be designed to--
            ``(A) make public health education more accessible to the 
        public and private health workforce;
            ``(B) increase the relevance of public health academic 
        preparation to public health practice in the future;
            ``(C) provide education or training for students from 
        traditional on-campus programs in practice-based sites; or
            ``(D) develop educational methods and distance-based 
        approaches or technology that address adult learning 
        requirements and increase knowledge and skills related to 
        community-based cultural diversity in public health education.
        ``(2) Severe shortage disciplines.--Amounts provided under 
    grants or contracts under this section may be used for the 
    operation of programs designed to award traineeships to students in 
    accredited schools of public health who enter educational programs 
    in fields where there is a severe shortage of public health 
    professionals, including epidemiology, biostatistics, environmental 
    health, toxicology, public health nursing, nutrition, preventive 
    medicine, maternal and child health, and behavioral and mental 
    health professions.

``SEC. 766. PUBLIC HEALTH TRAINING CENTERS.

    ``(a) In General.--The Secretary may make grants or contracts for 
the operation of public health training centers.
    ``(b) Eligible Entities.--
        ``(1) In general.--A public health training center shall be an 
    accredited school of public health, or another public or nonprofit 
    private institution accredited for the provision of graduate or 
    specialized training in public health, that plans, develops, 
    operates, and evaluates projects that are in furtherance of the 
    goals established by the Secretary for the year 2000 in the areas 
    of preventive medicine, health promotion and disease prevention, or 
    improving access to and quality of health services in medically 
    underserved communities.
        ``(2) Preference.--In awarding grants or contracts under this 
    section the Secretary shall give preference to accredited schools 
    of public health.
    ``(c) Certain Requirements.--With respect to a public health 
training center, an award may not be made under subsection (a) unless 
the program agrees that it--
        ``(1) will establish or strengthen field placements for 
    students in public or nonprofit private health agencies or 
    organizations;
        ``(2) will involve faculty members and students in 
    collaborative projects to enhance public health services to 
    medically underserved communities;
        ``(3) will specifically designate a geographic area or 
    medically underserved population to be served by the center that 
    shall be in a location removed from the main location of the 
    teaching facility of the school that is participating in the 
    program with such center; and
        ``(4) will assess the health personnel needs of the area to be 
    served by the center and assist in the planning and development of 
    training programs to meet such needs.

``SEC. 767. PUBLIC HEALTH TRAINEESHIPS.

    ``(a) In General.--The Secretary may make grants to accredited 
schools of public health, and to other public or nonprofit private 
institutions accredited for the provision of graduate or specialized 
training in public health, for the purpose of assisting such schools 
and institutions in providing traineeships to individuals described in 
subsection (b)(3).
    ``(b) Certain Requirements.--
        ``(1) Amount.--The amount of any grant under this section shall 
    be determined by the Secretary.
        ``(2) Use of grant.--Traineeships awarded under grants made 
    under subsection (a) shall provide for tuition and fees and such 
    stipends and allowances (including travel and subsistence expenses 
    and dependency allowances) for the trainees as the Secretary may 
    deem necessary.
        ``(3) Eligible individuals.--The individuals referred to in 
    subsection (a) are individuals who are pursuing a course of study 
    in a health professions field in which there is a severe shortage 
    of health professionals (which fields include the fields of 
    epidemiology, environmental health, biostatistics, toxicology, 
    nutrition, and maternal and child health).

``SEC. 768. PREVENTIVE MEDICINE; DENTAL PUBLIC HEALTH.

    ``(a) In General.--The Secretary may make grants to and enter into 
contracts with schools of medicine, osteopathic medicine, public 
health, and dentistry to meet the costs of projects--
        ``(1) to plan and develop new residency training programs and 
    to maintain or improve existing residency training programs in 
    preventive medicine and dental public health; and
        ``(2) to provide financial assistance to residency trainees 
    enrolled in such programs.
    ``(b) Administration.--
        ``(1) Amount.--The amount of any grant under subsection (a) 
    shall be determined by the Secretary.
        ``(2) Eligibility.--To be eligible for a grant under subsection 
    (a), the applicant must demonstrate to the Secretary that it has or 
    will have available full-time faculty members with training and 
    experience in the fields of preventive medicine or dental public 
    health and support from other faculty members trained in public 
    health and other relevant specialties and disciplines.
        ``(3) Other funds.--Schools of medicine, osteopathic medicine, 
    dentistry, and public health may use funds committed by State, 
    local, or county public health officers as matching amounts for 
    Federal grant funds for residency training programs in preventive 
    medicine.
``SEC. 769. HEALTH ADMINISTRATION TRAINEESHIPS AND SPECIAL PROJECTS.
    ``(a) In General.--The Secretary may make grants to State or local 
governments (that have in effect preventive medical and dental public 
health residency programs) or public or nonprofit private educational 
entities (including graduate schools of social work and business 
schools that have health management programs) that offer a program 
described in subsection (b)--
        ``(1) to provide traineeships for students enrolled in such a 
    program; and
        ``(2) to assist accredited programs health administration in 
    the development or improvement of programs to prepare students for 
    employment with public or nonprofit private entities.
    ``(b) Relevant Programs.--The program referred to in subsection (a) 
is an accredited program in health administration, hospital 
administration, or health policy analysis and planning, which program 
is accredited by a body or bodies approved for such purpose by the 
Secretary of Education and which meets such other quality standards as 
the Secretary of Health and Human Services by regulation may prescribe.
    ``(c) Preference in Making Grants.--In making grants under 
subsection (a), the Secretary shall give preference to qualified 
applicants that meet the following conditions:
        ``(1) Not less than 25 percent of the graduates of the 
    applicant are engaged in full-time practice settings in medically 
    underserved communities.
        ``(2) The applicant recruits and admits students from medically 
    underserved communities.
        ``(3) For the purpose of training students, the applicant has 
    established relationships with public and nonprofit providers of 
    health care in the community involved.
        ``(4) In training students, the applicant emphasizes employment 
    with public or nonprofit private entities.
    ``(d) Certain Provisions Regarding Traineeships.--
        ``(1) Use of grant.--Traineeships awarded under grants made 
    under subsection (a) shall provide for tuition and fees and such 
    stipends and allowances (including travel and subsistence expenses 
    and dependency allowances) for the trainees as the Secretary may 
    deem necessary.
        ``(2) Preference for certain students.--Each entity applying 
    for a grant under subsection (a) for traineeships shall assure to 
    the satisfaction of the Secretary that the entity will give 
    priority to awarding the traineeships to students who demonstrate a 
    commitment to employment with public or nonprofit private entities 
    in the fields with respect to which the traineeships are awarded.

``SEC. 770. AUTHORIZATION OF APPROPRIATIONS.

    ``(a) In General.--For the purpose of carrying out this subpart, 
there is authorized to be appropriated $9,100,000 for fiscal year 1998, 
and such sums as may be necessary for each of the fiscal years 1999 
through 2002.
    ``(b) Limitation Regarding Certain Program.--In obligating amounts 
appropriated under subsection (a), the Secretary may not obligate more 
than 30 percent for carrying out section 767.''.

SEC. 106. GENERAL PROVISIONS.

    (a) In General.--
        (1) Part F of title VII of the Public Health Service Act (42 
    U.S.C. 295 et seq.) is repealed.
        (2) Part G of title VII of the Public Health Service Act (42 
    U.S.C. 295j et seq.) is amended--
            (A) by redesignating such part as part F;
            (B) in section 791 (42 U.S.C. 295j)--
                (i) by striking subsection (b); and
                (ii) redesignating subsection (c) as subsection (b);
            (C) by repealing section 793 (42 U.S.C. 295l);
            (D) by repealing section 798;
            (E) by redesignating section 799 as section 799B; and
            (F) by inserting after section 794, the following new 
        sections:

``SEC. 796. APPLICATION.

    ``(a) In General.--To be eligible to receive a grant or contract 
under this title, an eligible entity shall prepare and submit to the 
Secretary an application that meets the requirements of this section, 
at such time, in such manner, and containing such information as the 
Secretary may require.
    ``(b) Plan.--An application submitted under this section shall 
contain the plan of the applicant for carrying out a project with 
amounts received under this title. Such plan shall be consistent with 
relevant Federal, State, or regional health professions program plans.
    ``(c) Performance Outcome Standards.--An application submitted 
under this section shall contain a specification by the applicant 
entity of performance outcome standards that the project to be funded 
under the grant or contract will be measured against. Such standards 
shall address relevant health workforce needs that the project will 
meet. The recipient of a grant or contract under this section shall 
meet the standards set forth in the grant or contract application.
    ``(d) Linkages.--An application submitted under this section shall 
contain a description of the linkages with relevant educational and 
health care entities, including training programs for other health 
professionals as appropriate, that the project to be funded under the 
grant or contract will establish. To the extent practicable, grantees 
under this section shall establish linkages with health care providers 
who provide care for underserved communities and populations.

``SEC. 797. USE OF FUNDS.

    ``(a) In General.--Amounts provided under a grant or contract 
awarded under this title may be used for training program development 
and support, faculty development, model demonstrations, trainee support 
including tuition, books, program fees and reasonable living expenses 
during the period of training, technical assistance, workforce 
analysis, dissemination of information, and exploring new policy 
directions, as appropriate to meet recognized health workforce 
objectives, in accordance with this title.
    ``(b) Maintenance of Effort.--With respect to activities for which 
a grant awarded under this title is to be expended, the entity shall 
agree to maintain expenditures of non-Federal amounts for such 
activities at a level that is not less than the level of such 
expenditures maintained by the entity for the fiscal year preceding the 
fiscal year for which the entity receives such a grant.

``SEC. 798. MATCHING REQUIREMENT.

    ``The Secretary may require that an entity that applies for a grant 
or contract under this title provide non-Federal matching funds, as 
appropriate, to ensure the institutional commitment of the entity to 
the projects funded under the grant. As determined by the Secretary, 
such non-Federal matching funds may be provided directly or through 
donations from public or private entities and may be in cash or in-
kind, fairly evaluated, including plant, equipment, or services.

``SEC. 799. GENERALLY APPLICABLE PROVISIONS.

    ``(a) Awarding of Grants and Contracts.--The Secretary shall ensure 
that grants and contracts under this title are awarded on a competitive 
basis, as appropriate, to carry out innovative demonstration projects 
or provide for strategic workforce supplementation activities as needed 
to meet health workforce goals and in accordance with this title. 
Contracts may be entered into under this title with public or private 
entities as may be necessary.
    ``(b) Eligible Entities.--Unless specifically required otherwise in 
this title, the Secretary shall accept applications for grants or 
contracts under this title from health professions schools, academic 
health centers, State or local governments, or other appropriate public 
or private nonprofit entities for funding and participation in health 
professions and nursing training activities. The Secretary may accept 
applications from for-profit private entities if determined appropriate 
by the Secretary.
    ``(c) Information Requirements.--
        ``(1) In general.--Recipients of grants and contracts under 
    this title shall meet information requirements as specified by the 
    Secretary.
        ``(2) Data collection.--The Secretary shall establish 
    procedures to ensure that, with respect to any data collection 
    required under this title, such data is collected in a manner that 
    takes into account age, sex, race, and ethnicity.
        ``(3) Use of funds.--The Secretary shall establish procedures 
    to permit the use of amounts appropriated under this title to be 
    used for data collection purposes.
        ``(4) Evaluations.--The Secretary shall establish procedures to 
    ensure the annual evaluation of programs and projects operated by 
    recipients of grants or contracts under this title. Such procedures 
    shall ensure that continued funding for such programs and projects 
    will be conditioned upon a demonstration that satisfactory progress 
    has been made by the program or project in meeting the objectives 
    of the program or project.
    ``(d) Training Programs.--Training programs conducted with amounts 
received under this title shall meet applicable accreditation and 
quality standards.
    ``(e) Duration of Assistance.--
        ``(1) In general.--Subject to paragraph (2), in the case of an 
    award to an entity of a grant, cooperative agreement, or contract 
    under this title, the period during which payments are made to the 
    entity under the award may not exceed 5 years. The provision of 
    payments under the award shall be subject to annual approval by the 
    Secretary of the payments and subject to the availability of 
    appropriations for the fiscal year involved to make the payments. 
    This paragraph may not be construed as limiting the number of 
    awards under the program involved that may be made to the entity.
        ``(2) Limitation.--In the case of an award to an entity of a 
    grant, cooperative agreement, or contract under this title, 
    paragraph (1) shall apply only to the extent not inconsistent with 
    any other provision of this title that relates to the period during 
    which payments may be made under the award.
    ``(f) Peer Review Regarding Certain Programs.--
        ``(1) In general.--Each application for a grant under this 
    title, except any scholarship or loan program, including those 
    under sections 701, 721, or 723, shall be submitted to a peer 
    review group for an evaluation of the merits of the proposals made 
    in the application. The Secretary may not approve such an 
    application unless a peer review group has recommended the 
    application for approval.
        ``(2) Composition.--Each peer review group under this 
    subsection shall be composed principally of individuals who are not 
    officers or employees of the Federal Government. In providing for 
    the establishment of peer review groups and procedures, the 
    Secretary shall ensure sex, racial, ethnic, and geographic balance 
    among the membership of such groups.
        ``(3) Administration.--This subsection shall be carried out by 
    the Secretary acting through the Administrator of the Health 
    Resources and Services Administration.
    ``(g) Preference or Priority Considerations.--In considering a 
preference or priority for funding which is based on outcome measures 
for an eligible entity under this title, the Secretary may also 
consider the future ability of the eligible entity to meet the outcome 
preference or priority through improvements in the eligible entity's 
program design.
    ``(h) Analytic Activities.--The Secretary shall ensure that--
        ``(1) cross-cutting workforce analytical activities are carried 
    out as part of the workforce information and analysis activities 
    under section 761; and
        ``(2) discipline-specific workforce information and analytical 
    activities are carried out as part of--
            ``(A) the community-based linkage program under part D; and
            ``(B) the health workforce development program under 
        subpart 2 of part E.
    ``(i) Osteopathic Schools.--For purposes of this title, any 
reference to--
        ``(1) medical schools shall include osteopathic medical 
    schools; and
        ``(2) medical students shall include osteopathic medical 
    students.

``SEC. 799A. TECHNICAL ASSISTANCE.

    ``Funds appropriated under this title may be used by the Secretary 
to provide technical assistance in relation to any of the authorities 
under this title.''.
    (b) Professional Counselors as Mental Health Professionals.--
Section 792(a) of the Public Health Service Act (42 U.S.C. 295k(a)) is 
amended by inserting ``professional counselors,'' after ``clinical 
psychologists,''.

SEC. 107. PREFERENCE IN CERTAIN PROGRAMS.

    (a) In General.--Section 791 of the Public Health Service Act (42 
U.S.C. 295j), as amended by section 105(a)(2)(B), is further amended by 
adding at the end thereof the following subsection:
    ``(c) Exceptions for New Programs.--
        ``(1) In general.--To permit new programs to compete equitably 
    for funding under this section, those new programs that meet at 
    least 4 of the criteria described in paragraph (3) shall qualify 
    for a funding preference under this section.
        ``(2) Definition.--As used in this subsection, the term `new 
    program' means any program that has graduated less than three 
    classes. Upon graduating at least three classes, a program shall 
    have the capability to provide the information necessary to qualify 
    the program for the general funding preferences described in 
    subsection (a).
        ``(3) Criteria.--The criteria referred to in paragraph (1) are 
    the following:
            ``(A) The mission statement of the program identifies a 
        specific purpose of the program as being the preparation of 
        health professionals to serve underserved populations.
            ``(B) The curriculum of the program includes content which 
        will help to prepare practitioners to serve underserved 
        populations.
            ``(C) Substantial clinical training experience is required 
        under the program in medically underserved communities.
            ``(D) A minimum of 20 percent of the clinical faculty of 
        the program spend at least 50 percent of their time providing 
        or supervising care in medically underserved communities.
            ``(E) The entire program or a substantial portion of the 
        program is physically located in a medically underserved 
        community.
            ``(F) Student assistance, which is linked to service in 
        medically underserved communities following graduation, is 
        available to the students in the program.
            ``(G) The program provides a placement mechanism for 
        deploying graduates to medically underserved communities.''.
    (b) Conforming Amendments.--Section 791(a) of the Public Health 
Service Act (42 U.S.C. 295j(a)) is amended--
        (1) in paragraph (1), by striking ``sections 747'' and all that 
    follows through ``767'' and inserting ``sections 747 and 750''; and
        (2) in paragraph (2), by striking ``under section 798(a)''.

SEC. 108. DEFINITIONS.

    (a) Graduate Program in Behavioral and Mental Health Practice.--
Section 799B(1)(D) of the Public Health Service Act (42 U.S.C. 
295p(1)(D)) (as so redesignated by section 106(a)(2)(E)) is amended--
        (1) by inserting ``behavioral health and'' before ``mental''; 
    and
        (2) by inserting ``behavioral health and mental health 
    practice,'' before ``clinical''.
    (b) Professional Counseling as a Behavioral and Mental Health 
Practice.--Section 799B of the Public Health Service Act (42 U.S.C. 
295p) (as so redesignated by section 106(a)(2)(E)) is amended--
        (1) in paragraph (1)--
            (A) in subparagraph (C)--
                (i) by inserting ``and `graduate program in 
            professional counseling''' after ``graduate program in 
            marriage and family therapy'''; and
                (ii) by inserting before the period the following: 
            ``and a concentration leading to a graduate degree in 
            counseling'';
            (B) in subparagraph (D), by inserting ``professional 
        counseling,'' after ``social work,''; and
            (C) in subparagraph (E), by inserting ``professional 
        counseling,'' after ``social work,''; and
        (2) in paragraph (5)(C), by inserting before the period the 
    following: ``or a degree in counseling or an equivalent degree''.
    (c) Medically Underserved Community.--Section 799B(6) of the Public 
Health Service Act (42 U.S.C. 295p(6)) (as so redesignated by section 
105(a)(2)(E)) is amended--
        (1) in subparagraph (B), by striking ``or'' at the end thereof;
        (2) in subparagraph (C), by striking the period and inserting 
    ``; or''; and
        (3) by adding at the end the following:
            ``(D) is designated by a State Governor (in consultation 
        with the medical community) as a shortage area or medically 
        underserved community.''.
    (d) Programs for the Training of Physician Assistants.--Paragraph 
(3) of section 799B of the Public Health Service Act (42 U.S.C. 295p) 
(as so redesignated by section 105(a)(2)(E)) is amended to read as 
follows:
        ``(3) The term `program for the training of physician 
    assistants' means an educational program that--
            ``(A) has as its objective the education of individuals who 
        will, upon completion of their studies in the program, be 
        qualified to provide primary care under the supervision of a 
        physician;
            ``(B) extends for at least one academic year and consists 
        of--
                ``(i) supervised clinical practice; and
                ``(ii) at least four months (in the aggregate) of 
            classroom instruction, directed toward preparing students 
            to deliver health care;
            ``(C) has an enrollment of not less than eight students; 
        and
            ``(D) trains students in primary care, disease prevention, 
        health promotion, geriatric medicine, and home health care.''.
    (e) Psychologist.--Section 799B of the Public Health Service Act 
(42 U.S.C. 295p) (as so redesignated by section 105(a)(2)(E)) is 
amended by adding at the end the following:
        ``(11) The term `psychologist' means an individual who--
            ``(A) holds a doctoral degree in psychology; and
            ``(B) is licensed or certified on the basis of the doctoral 
        degree in psychology, by the State in which the individual 
        practices, at the independent practice level of psychology to 
        furnish diagnostic, assessment, preventive, and therapeutic 
        services directly to individuals.''.
    SEC. 109. TECHNICAL AMENDMENT ON NATIONAL HEALTH SERVICE CORPS.
    Section 338B(b)(1)(B) of the Public Health Service Act (42 U.S.C. 
254l-1(b)(1)(B)) is amended by striking ``or other health profession'' 
and inserting ``behavioral and mental health, or other health 
profession''.

SEC. 110. SAVINGS PROVISION.

    In the case of any authority for making awards of grants or 
contracts that is terminated by the amendments made by this subtitle, 
the Secretary of Health and Human Services may, notwithstanding the 
termination of the authority, continue in effect any grant or contract 
made under the authority that is in effect on the day before the date 
of the enactment of this Act, subject to the duration of any such grant 
or contract not exceeding the period determined by the Secretary in 
first approving such financial assistance, or in approving the most 
recent request made (before the date of such enactment) for 
continuation of such assistance, as the case may be.

               Subtitle B--Nursing Workforce Development

SEC. 121. SHORT TITLE.

    This subtitle may be cited as the ``Nursing Education and Practice 
Improvement Act of 1998''.

SEC. 122. PURPOSE.

    It is the purpose of this subtitle to restructure the nurse 
education authorities of title VIII of the Public Health Service Act to 
permit a comprehensive, flexible, and effective approach to Federal 
support for nursing workforce development.

SEC. 123. AMENDMENTS TO PUBLIC HEALTH SERVICE ACT.

    Title VIII of the Public Health Service Act (42 U.S.C. 296k et 
seq.) is amended--
        (1) by striking the title heading and all that follows except 
    for subpart II of part B and sections 846 and 855; and inserting 
    the following:

             ``TITLE VIII--NURSING WORKFORCE DEVELOPMENT'';

        (2) in subpart II of part B, by striking the subpart heading 
    and inserting the following:

                       ``PART E--STUDENT LOANS'';

        (3) by striking section 837;
        (4) by inserting after the title heading the following new 
    parts:

                      ``PART A--GENERAL PROVISIONS

``SEC. 801. DEFINITIONS.

    ``As used in this title:
        ``(1) Eligible entities.--The term `eligible entities' means 
    schools of nursing, nursing centers, academic health centers, State 
    or local governments, and other public or private nonprofit 
    entities determined appropriate by the Secretary that submit to the 
    Secretary an application in accordance with section 802.
        ``(2) School of nursing.--The term `school of nursing' means a 
    collegiate, associate degree, or diploma school of nursing in a 
    State.
        ``(3) Collegiate school of nursing.--The term `collegiate 
    school of nursing' means a department, division, or other 
    administrative unit in a college or university which provides 
    primarily or exclusively a program of education in professional 
    nursing and related subjects leading to the degree of bachelor of 
    arts, bachelor of science, bachelor of nursing, or to an equivalent 
    degree, or to a graduate degree in nursing, or to an equivalent 
    degree, and including advanced training related to such program of 
    education provided by such school, but only if such program, or 
    such unit, college or university is accredited.
        ``(4) Associate degree school of nursing.--The term `associate 
    degree school of nursing' means a department, division, or other 
    administrative unit in a junior college, community college, 
    college, or university which provides primarily or exclusively a 
    two-year program of education in professional nursing and allied 
    subjects leading to an associate degree in nursing or to an 
    equivalent degree, but only if such program, or such unit, college, 
    or university is accredited.
        ``(5) Diploma school of nursing.--The term `diploma school of 
    nursing' means a school affiliated with a hospital or university, 
    or an independent school, which provides primarily or exclusively a 
    program of education in professional nursing and allied subjects 
    leading to a diploma or to equivalent indicia that such program has 
    been satisfactorily completed, but only if such program, or such 
    affiliated school or such hospital or university or such 
    independent school is accredited.
        ``(6) Accredited.--
            ``(A) In general.--Except as provided in subparagraph (B), 
        the term `accredited' when applied to any program of nurse 
        education means a program accredited by a recognized body or 
        bodies, or by a State agency, approved for such purpose by the 
        Secretary of Education and when applied to a hospital, school, 
        college, or university (or a unit thereof) means a hospital, 
        school, college, or university (or a unit thereof) which is 
        accredited by a recognized body or bodies, or by a State 
        agency, approved for such purpose by the Secretary of 
        Education. For the purpose of this paragraph, the Secretary of 
        Education shall publish a list of recognized accrediting 
        bodies, and of State agencies, which the Secretary of Education 
        determines to be reliable authority as to the quality of 
        education offered.
            ``(B) New programs.--A new program of nursing that, by 
        reason of an insufficient period of operation, is not, at the 
        time of the submission of an application for a grant or 
        contract under this title, eligible for accreditation by such a 
        recognized body or bodies or State agency, shall be deemed 
        accredited for purposes of this title if the Secretary of 
        Education finds, after consultation with the appropriate 
        accreditation body or bodies, that there is reasonable 
        assurance that the program will meet the accreditation 
        standards of such body or bodies prior to the beginning of the 
        academic year following the normal graduation date of students 
        of the first entering class in such a program.
        ``(7) Nonprofit.--The term `nonprofit' as applied to any 
    school, agency, organization, or institution means one which is a 
    corporation or association, or is owned and operated by one or more 
    corporations or associations, no part of the net earnings of which 
    inures, or may lawfully inure, to the benefit of any private 
    shareholder or individual.
        ``(8) State.--The term `State' means a State, the Commonwealth 
    of Puerto Rico, the District of Columbia, the Commonwealth of the 
    Northern Mariana Islands, Guam, American Samoa, the Virgin Islands, 
    or the Trust Territory of the Pacific Islands.

``SEC. 802. APPLICATION.

    ``(a) In General.--To be eligible to receive a grant or contract 
under this title, an eligible entity shall prepare and submit to the 
Secretary an application that meets the requirements of this section, 
at such time, in such manner, and containing such information as the 
Secretary may require.
    ``(b) Plan.--An application submitted under this section shall 
contain the plan of the applicant for carrying out a project with 
amounts received under this title. Such plan shall be consistent with 
relevant Federal, State, or regional program plans.
    ``(c) Performance Outcome Standards.--An application submitted 
under this section shall contain a specification by the applicant 
entity of performance outcome standards that the project to be funded 
under the grant or contract will be measured against. Such standards 
shall address relevant national nursing needs that the project will 
meet. The recipient of a grant or contract under this section shall 
meet the standards set forth in the grant or contract application.
    ``(d) Linkages.--An application submitted under this section shall 
contain a description of the linkages with relevant educational and 
health care entities, including training programs for other health 
professionals as appropriate, that the project to be funded under the 
grant or contract will establish.

``SEC. 803. USE OF FUNDS.

    ``(a) In General.--Amounts provided under a grant or contract 
awarded under this title may be used for training program development 
and support, faculty development, model demonstrations, trainee support 
including tuition, books, program fees and reasonable living expenses 
during the period of training, technical assistance, workforce 
analysis, and dissemination of information, as appropriate to meet 
recognized nursing objectives, in accordance with this title.
    ``(b) Maintenance of Effort.--With respect to activities for which 
a grant awarded under this title is to be expended, the entity shall 
agree to maintain expenditures of non-Federal amounts for such 
activities at a level that is not less than the level of such 
expenditures maintained by the entity for the fiscal year preceding the 
fiscal year for which the entity receives such a grant.

``SEC. 804. MATCHING REQUIREMENT.

    ``The Secretary may require that an entity that applies for a grant 
or contract under this title provide non-Federal matching funds, as 
appropriate, to ensure the institutional commitment of the entity to 
the projects funded under the grant. Such non-Federal matching funds 
may be provided directly or through donations from public or private 
entities and may be in cash or in-kind, fairly evaluated, including 
plant, equipment, or services.

``SEC. 805. PREFERENCE.

    ``In awarding grants or contracts under this title, the Secretary 
shall give preference to applicants with projects that will 
substantially benefit rural or underserved populations, or help meet 
public health nursing needs in State or local health departments.

``SEC. 806. GENERALLY APPLICABLE PROVISIONS.

    ``(a) Awarding of Grants and Contracts.--The Secretary shall ensure 
that grants and contracts under this title are awarded on a competitive 
basis, as appropriate, to carry out innovative demonstration projects 
or provide for strategic workforce supplementation activities as needed 
to meet national nursing service goals and in accordance with this 
title. Contracts may be entered into under this title with public or 
private entities as determined necessary by the Secretary.
    ``(b) Information Requirements.--
        ``(1) In general.--Recipients of grants and contracts under 
    this title shall meet information requirements as specified by the 
    Secretary.
        ``(2) Evaluations.--The Secretary shall establish procedures to 
    ensure the annual evaluation of programs and projects operated by 
    recipients of grants under this title. Such procedures shall ensure 
    that continued funding for such programs and projects will be 
    conditioned upon a demonstration that satisfactory progress has 
    been made by the program or project in meeting the objectives of 
    the program or project.
    ``(c) Training Programs.--Training programs conducted with amounts 
received under this title shall meet applicable accreditation and 
quality standards.
    ``(d) Duration of Assistance.--
        ``(1) In general.--Subject to paragraph (2), in the case of an 
    award to an entity of a grant, cooperative agreement, or contract 
    under this title, the period during which payments are made to the 
    entity under the award may not exceed 5 years. The provision of 
    payments under the award shall be subject to annual approval by the 
    Secretary of the payments and subject to the availability of 
    appropriations for the fiscal year involved to make the payments. 
    This paragraph may not be construed as limiting the number of 
    awards under the program involved that may be made to the entity.
        ``(2) Limitation.--In the case of an award to an entity of a 
    grant, cooperative agreement, or contract under this title, 
    paragraph (1) shall apply only to the extent not inconsistent with 
    any other provision of this title that relates to the period during 
    which payments may be made under the award.
    ``(e) Peer Review Regarding Certain Programs.--
        ``(1) In general.--Each application for a grant under this 
    title, except advanced nurse traineeship grants under section 
    811(a)(2), shall be submitted to a peer review group for an 
    evaluation of the merits of the proposals made in the application. 
    The Secretary may not approve such an application unless a peer 
    review group has recommended the application for approval.
        ``(2) Composition.--Each peer review group under this 
    subsection shall be composed principally of individuals who are not 
    officers or employees of the Federal Government. In providing for 
    the establishment of peer review groups and procedures, the 
    Secretary shall, except as otherwise provided, ensure sex, racial, 
    ethnic, and geographic representation among the membership of such 
    groups.
        ``(3) Administration.--This subsection shall be carried out by 
    the Secretary acting through the Administrator of the Health 
    Resources and Services Administration.
    ``(f) Analytic Activities.--The Secretary shall ensure that--
        ``(1) cross-cutting workforce analytical activities are carried 
    out as part of the workforce information and analysis activities 
    under this title; and
        ``(2) discipline-specific workforce information is developed 
    and analytical activities are carried out as part of--
            ``(A) the advanced education nursing activities under part 
        B;
            ``(B) the workforce diversity activities under part C; and
            ``(C) basic nursing education and practice activities under 
        part D.
    ``(g) State and Regional Priorities.--Activities under grants or 
contracts under this title shall, to the extent practicable, be 
consistent with related Federal, State, or regional nursing professions 
program plans and priorities.
    ``(h) Filing of Applications.--
        ``(1) In general.--Applications for grants or contracts under 
    this title may be submitted by health professions schools, schools 
    of nursing, academic health centers, State or local governments, or 
    other appropriate public or private nonprofit entities as 
    determined appropriate by the Secretary in accordance with this 
    title.
        ``(2) For-profit entities.--Notwithstanding paragraph (1), a 
    for-profit entity may be eligible for a grant or contract under 
    this title as determined appropriate by the Secretary.

``SEC. 807. TECHNICAL ASSISTANCE.

    ``Funds appropriated under this title may be used by the Secretary 
to provide technical assistance in relation to any of the authorities 
under this title.

``PART B--NURSE PRACTITIONERS, NURSE MIDWIVES, NURSE ANESTHETISTS, AND 
                    OTHER ADVANCED EDUCATION NURSES

``SEC. 811. ADVANCED EDUCATION NURSING GRANTS.

    ``(a) In General.--The Secretary may award grants to and enter into 
contracts with eligible entities to meet the costs of--
        ``(1) projects that support the enhancement of advanced nursing 
    education and practice; and
        ``(2) traineeships for individuals in advanced nursing 
    education programs.
    ``(b) Definition of Advanced Education Nurses.--For purposes of 
this section, the term `advanced education nurses' means individuals 
trained in advanced degree programs including individuals in combined 
R.N./Master's degree programs, post-nursing master's certificate 
programs, or, in the case of nurse midwives, in certificate programs in 
existence on the date that is one day prior to the date of enactment of 
this section, to serve as nurse practitioners, clinical nurse 
specialists, nurse midwives, nurse anesthetists, nurse educators, nurse 
administrators, or public health nurses, or in other nurse specialties 
determined by the Secretary to require advanced education.
    ``(c) Authorized Nurse Practitioner and Nurse Midwifery Programs.--
Nurse practitioner and nurse midwifery programs eligible for support 
under this section are educational programs for registered nurses 
(irrespective of the type of school of nursing in which the nurses 
received their training) that--
        ``(1) meet guidelines prescribed by the Secretary; and
        ``(2) have as their objective the education of nurses who will 
    upon completion of their studies in such programs, be qualified to 
    effectively provide primary health care, including primary health 
    care in homes and in ambulatory care facilities, long-term care 
    facilities, acute care, and other health care settings.
    ``(d) Authorized Nurse Anesthesia Programs.--Nurse anesthesia 
programs eligible for support under this section are education programs 
that--
        ``(1) provide registered nurses with full-time anesthetist 
    education; and
        ``(2) are accredited by the Council on Accreditation of Nurse 
    Anesthesia Educational Programs.
    ``(e) Other Authorized Educational Programs.--The Secretary shall 
prescribe guidelines as appropriate for other advanced nurse education 
programs eligible for support under this section.
    ``(f) Traineeships.--
        ``(1) In general.--The Secretary may not award a grant to an 
    applicant under subsection (a) unless the applicant involved agrees 
    that traineeships provided with the grant will only pay all or part 
    of the costs of--
            ``(A) the tuition, books, and fees of the program of 
        advanced nurse education with respect to which the traineeship 
        is provided; and
            ``(B) the reasonable living expenses of the individual 
        during the period for which the traineeship is provided.
        ``(2) Doctoral programs.--The Secretary may not obligate more 
    than 10 percent of the traineeships under subsection (a) for 
    individuals in doctorate degree programs.
        ``(3) Special consideration.--In making awards of grants and 
    contracts under subsection (a)(2), the Secretary shall give special 
    consideration to an eligible entity that agrees to expend the award 
    to train advanced education nurses who will practice in health 
    professional shortage areas designated under section 332.

            ``PART C--INCREASING NURSING WORKFORCE DIVERSITY

``SEC. 821. WORKFORCE DIVERSITY GRANTS.

    ``(a) In General.--The Secretary may award grants to and enter into 
contracts with eligible entities to meet the costs of special projects 
to increase nursing education opportunities for individuals who are 
from disadvantaged backgrounds (including racial and ethnic minorities 
underrepresented among registered nurses) by providing student 
scholarships or stipends, pre-entry preparation, and retention 
activities.
    ``(b) Guidance.--In carrying out subsection (a), the Secretary 
shall take into consideration the recommendations of the First, Second 
and Third Invitational Congresses for Minority Nurse Leaders on `Caring 
for the Emerging Majority,' in 1992, 1993 and 1997, and consult with 
nursing associations including the American Nurses Association, the 
National League for Nursing, the American Association of Colleges of 
Nursing, the National Black Nurses Association, the National 
Association of Hispanic Nurses, the Association of Asian American and 
Pacific Islander Nurses, the Native American Indian and Alaskan Nurses 
Association, and the National Council of State Boards of Nursing.
    ``(c) Required Information and Conditions for Award Recipients.--
        ``(1) In general.--Recipients of awards under this section may 
    be required, where requested, to report to the Secretary concerning 
    the annual admission, retention, and graduation rates for 
    individuals from disadvantaged backgrounds and ethnic and racial 
    minorities in the school or schools involved in the projects.
        ``(2) Falling rates.--If any of the rates reported under 
    paragraph (1) fall below the average of the two previous years, the 
    grant or contract recipient shall provide the Secretary with plans 
    for immediately improving such rates.
        ``(3) Ineligibility.--A recipient described in paragraph (2) 
    shall be ineligible for continued funding under this section if the 
    plan of the recipient fails to improve the rates within the 1-year 
    period beginning on the date such plan is implemented.

``PART D--STRENGTHENING CAPACITY FOR BASIC NURSE EDUCATION AND PRACTICE

``SEC. 831. BASIC NURSE EDUCATION AND PRACTICE GRANTS.

    ``(a) In General.--The Secretary may award grants to and enter into 
contracts with eligible entities for projects to strengthen capacity 
for basic nurse education and practice.
    ``(b) Priority Areas.--In awarding grants or contracts under this 
section the Secretary shall give priority to entities that will use 
amounts provided under such a grant or contract to enhance the 
educational mix and utilization of the basic nursing workforce by 
strengthening programs that provide basic nurse education, such as 
through--
        ``(1) establishing or expanding nursing practice arrangements 
    in noninstitutional settings to demonstrate methods to improve 
    access to primary health care in medically underserved communities;
        ``(2) providing care for underserved populations and other 
    high-risk groups such as the elderly, individuals with HIV-AIDS, 
    substance abusers, the homeless, and victims of domestic violence;
        ``(3) providing managed care, quality improvement, and other 
    skills needed to practice in existing and emerging organized health 
    care systems;
        ``(4) developing cultural competencies among nurses;
        ``(5) expanding the enrollment in baccalaureate nursing 
    programs;
        ``(6) promoting career mobility for nursing personnel in a 
    variety of training settings and cross training or specialty 
    training among diverse population groups;
        ``(7) providing education in informatics, including distance 
    learning methodologies; or
        ``(8) other priority areas as determined by the Secretary.'';
        (5) by adding at the end the following:

                           ``PART F--FUNDING

``SEC. 841. FUNDING.

    ``(a) Authorization of Appropriations.--For the purpose of carrying 
out parts B, C, and D (subject to section 845(g)), there are authorized 
to be appropriated $65,000,000 for fiscal year 1998, and such sums as 
may be necessary for each of the fiscal years 1999 through 2002.
    ``(b) Allocations for Fiscal Years 1998 Through 2002.--
        ``(1) Nurse practitioners; nurse midwives.--
            ``(A) Fiscal year 1998.--Of the amount appropriated under 
        subsection (a) for fiscal year 1998, the Secretary shall 
        reserve not less than $17,564,000 for making awards of grants 
        and contracts under section 822 as such section was in effect 
        for fiscal year 1998.
            ``(B) Fiscal years 1999 through 2002.--Of the amount 
        appropriated under subsection (a) for fiscal year 1999 or any 
        of the fiscal years 2000 through 2002, the Secretary, subject 
        to subsection (d), shall reserve for the fiscal year involved, 
        for making awards of grants and contracts under part B with 
        respect to nurse practitioners and nurse midwives, not less 
        than the percentage constituted by the ratio of the amount 
        appropriated under section 822 as such section was in effect 
        for fiscal year 1998 to the total of the amounts appropriated 
        under this title for such fiscal year. For purposes of the 
        preceding sentence, the Secretary, in determining the amount 
        that has been reserved for the fiscal year involved, shall 
        include any amounts appropriated under subsection (a) for the 
        fiscal year that are obligated by the Secretary to continue in 
        effect grants or contracts under section 822 as such section 
        was in effect for fiscal year 1998.
        ``(2) Nurse anesthetists.--
            ``(A) Fiscal year 1998.--Of the amount appropriated under 
        subsection (a) for fiscal year 1998, the Secretary shall 
        reserve not less than $2,761,000 for making awards of grants 
        and contracts under section 831 as such section was in effect 
        for fiscal year 1998.
            ``(B) Fiscal years 1999 through 2002.--Of the amount 
        appropriated under subsection (a) for fiscal year 1999 or any 
        of the fiscal years 2000 through 2002, the Secretary, subject 
        to subsection (d), shall reserve for the fiscal year involved, 
        for making awards of grants and contracts under part B with 
        respect to nurse anesthetists, not less than the percentage 
        constituted by the ratio of the amount appropriated under 
        section 831 as such section was in effect for fiscal year 1998 
        to the total of the amounts appropriated under this title for 
        such fiscal year. For purposes of the preceding sentence, the 
        Secretary, in determining the amount that has been reserved for 
        the fiscal year involved, shall include any amounts 
        appropriated under subsection (a) for the fiscal year that are 
        obligated by the Secretary to continue in effect grants or 
        contracts under section 831 as such section was in effect for 
        fiscal year 1998.
    ``(c) Allocations After Fiscal Year 2002.--
        ``(1) In general.--For fiscal year 2003 and subsequent fiscal 
    years, amounts appropriated under subsection (a) for the fiscal 
    year involved shall be allocated by the Secretary among parts B, C, 
    and D (and programs within such parts) according to a methodology 
    that is developed in accordance with paragraph (2). The Secretary 
    shall enter into a contract with a public or private entity for the 
    purpose of developing the methodology. The contract shall require 
    that the development of the methodology be completed not later than 
    February 1, 2002.
        ``(2) Use of certain factors.--The contract under paragraph (1) 
    shall provide that the methodology under such paragraph will be 
    developed in accordance with the following:
            ``(A) The methodology will take into account the need for 
        and the distribution of health services among medically 
        underserved populations, as determined according to the factors 
        that apply under section 330(b)(3).
            ``(B) The methodology will take into account the need for 
        and the distribution of health services in health professional 
        shortage areas, as determined according to the factors that 
        apply under section 332(b).
            ``(C) The methodology will take into account the need for 
        and the distribution of mental health services among medically 
        underserved populations and in health professional shortage 
        areas.
            ``(D) The methodology will be developed in consultation 
        with individuals in the field of nursing, including registered 
        nurses, nurse practitioners, nurse midwives, nurse 
        anesthetists, clinical nurse specialists, nursing educators and 
        educational institutions, nurse executives, pediatric nurse 
        associates and practitioners, and women's health, obstetric, 
        and neonatal nurses.
            ``(E) The methodology will take into account the following 
        factors with respect to the States:
                ``(i) A provider population ratio equivalent to a 
            managed care formula of 1/1,500 for primary care services.
                ``(ii) The use of whole rather than fractional counts 
            in determining the number of health care providers.
                ``(iii) The counting of only employed health care 
            providers in determining the number of health care 
            providers.
                ``(iv) The number of families whose income is less than 
            200 percent of the official poverty line (as established by 
            the Director of the Office of Management and Budget and 
            revised by the Secretary in accordance with section 673(2) 
            of the Omnibus Budget Reconciliation Act of 1981).
                ``(v) The rate of infant mortality and the rate of low-
            birthweight births.
                ``(vi) The percentage of the general population 
            constituted by individuals who are members of racial or 
            ethnic minority groups, stated both by minority group and 
            in the aggregate.
                ``(vii) The percentage of the general population 
            constituted by individuals who are of Hispanic ethnicity.
                ``(viii) The number of individuals residing in health 
            professional shortage areas, and the number of individuals 
            who are members of medically underserved populations.
                ``(ix) The percentage of the general population 
            constituted by elderly individuals.
                ``(x) The extent to which the populations served have a 
            choice of providers.
                ``(xi) The impact of care on hospitalizations and 
            emergency room use.
                ``(xii) The number of individuals who lack proficiency 
            in speaking the English language.
                ``(xiii) Such additional factors as the Secretary 
            determines to be appropriate.
        ``(3) Report to congress.--Not later than 30 days after the 
    completion of the development of the methodology required in 
    paragraph (1), the Secretary shall submit to the Committee on 
    Commerce of the House of Representatives, and to the Committee on 
    Labor and Human Resources of the Senate, a report describing the 
    methodology and explaining the effects of the methodology on the 
    allocation among parts B, C, and D (and programs within such parts) 
    of amounts appropriated under subsection (a) for the first fiscal 
    year for which the methodology will be in effect. Such explanation 
    shall include a comparison of the allocation for such fiscal year 
    with the allocation made under this section for the preceding 
    fiscal year.
    ``(d) Use of Methodology Before Fiscal Year 2003.--With respect to 
the fiscal years 1999 through 2002, if the report required in 
subsection (c)(3) is submitted in accordance with such subsection not 
later than 90 days before the beginning of such a fiscal year, the 
Secretary may for such year implement the methodology described in the 
report (rather than implementing the methodology in fiscal year 2003), 
in which case subsection (b) ceases to be in effect. The authority 
under the preceding sentence is subject to the condition that the 
fiscal year for which the methodology is implemented be the same fiscal 
year identified in such report as the fiscal year for which the 
methodology will first be in effect.
    ``(e) Authority for Use of Additional Factors in Methodology.--
        ``(1) In general.--The Secretary shall make the determinations 
    specified in paragraph (2). For any fiscal year beginning after the 
    first fiscal year for which the methodology under subsection (c)(1) 
    is in effect, the Secretary may alter the methodology by including 
    the information from such determinations as factors in the 
    methodology.
        ``(2) Relevant determinations.--The determinations referred to 
    in paragraph (1) are as follows:
            ``(A) The need for and the distribution of health services 
        among populations for which it is difficult to determine the 
        number of individuals who are in the population, such as 
        homeless individuals; migratory and seasonal agricultural 
        workers and their families; individuals infected with the human 
        immunodeficiency virus, and individuals who abuse drugs.
            ``(B) In the case of a population for which the 
        determinations under subparagraph (A) are made, the extent to 
        which the population includes individuals who are members of 
        racial or ethnic minority groups and a specification of the 
        skills needed to provide health services to such individuals in 
        the language and the educational and cultural context that is 
        most appropriate to the individuals.
            ``(C) Data, obtained from the Director of the Centers for 
        Disease Control and Prevention, on rates of morbidity and 
        mortality among various populations (including data on the 
        rates of maternal and infant mortality and data on the rates of 
        low-birthweight births of living infants).
            ``(D) Data from the Health Plan Employer Data and 
        Information Set, as appropriate.

  ``PART G--NATIONAL ADVISORY COUNCIL ON NURSE EDUCATION AND PRACTICE

``SEC. 845. NATIONAL ADVISORY COUNCIL ON NURSE EDUCATION AND PRACTICE.
    ``(a) Establishment.--The Secretary shall establish an advisory 
council to be known as the National Advisory Council on Nurse Education 
and Practice (in this section referred to as the `Advisory Council').
    ``(b) Composition.--
        ``(1) In general.--The Advisory Council shall be composed of--
            ``(A) not less than 21, nor more than 23 individuals, who 
        are not officers or employees of the Federal Government, 
        appointed by the Secretary without regard to the Federal civil 
        service laws, of which--
                ``(i) 2 shall be selected from full-time students 
            enrolled in schools of nursing;
                ``(ii) 2 shall be selected from the general public;
                ``(iii) 2 shall be selected from practicing 
            professional nurses; and
                ``(iv) 9 shall be selected from among the leading 
            authorities in the various fields of nursing, higher, 
            secondary education, and associate degree schools of 
            nursing, and from representatives of advanced education 
            nursing groups (such as nurse practitioners, nurse 
            midwives, and nurse anesthetists), hospitals, and other 
            institutions and organizations which provide nursing 
            services; and
            ``(B) the Secretary (or the delegate of the Secretary (who 
        shall be an ex officio member and shall serve as the 
        Chairperson)).
        ``(2) Appointment.--Not later than 90 days after the date of 
    enactment of this Act, the Secretary shall appoint the members of 
    the Advisory Council and each such member shall serve a 4 year 
    term. In making such appointments, the Secretary shall ensure a 
    fair balance between the nursing professions, a broad geographic 
    representation of members and a balance between urban and rural 
    members. Members shall be appointed based on their competence, 
    interest, and knowledge of the mission of the profession involved. 
    A majority of the members shall be nurses.
        ``(3) Minority representation.--In appointing the members of 
    the Advisory Council under paragraph (1), the Secretary shall 
    ensure the adequate representation of minorities.
    ``(c) Vacancies.--
        ``(1) In general.--A vacancy on the Advisory Council shall be 
    filled in the manner in which the original appointment was made and 
    shall be subject to any conditions which applied with respect to 
    the original appointment.
        ``(2) Filling unexpired term.--An individual chosen to fill a 
    vacancy shall be appointed for the unexpired term of the member 
    replaced.
    ``(d) Duties.--The Advisory Council shall--
        ``(1) provide advice and recommendations to the Secretary and 
    Congress concerning policy matters arising in the administration of 
    this title, including the range of issues relating to the nurse 
    workforce, education, and practice improvement;
        ``(2) provide advice to the Secretary and Congress in the 
    preparation of general regulations and with respect to policy 
    matters arising in the administration of this title, including the 
    range of issues relating to nurse supply, education and practice 
    improvement; and
        ``(3) not later than 3 years after the date of enactment of 
    this section, and annually thereafter, prepare and submit to the 
    Secretary, the Committee on Labor and Human Resources of the 
    Senate, and the Committee on Commerce of the House of 
    Representatives, a report describing the activities of the Council, 
    including findings and recommendations made by the Council 
    concerning the activities under this title.
    ``(e) Meetings and Documents.--
        ``(1) Meetings.--The Advisory Council shall meet not less than 
    2 times each year. Such meetings shall be held jointly with other 
    related entities established under this title where appropriate.
        ``(2) Documents.--Not later than 14 days prior to the convening 
    of a meeting under paragraph (1), the Advisory Council shall 
    prepare and make available an agenda of the matters to be 
    considered by the Advisory Council at such meeting. At any such 
    meeting, the Advisory Council shall distribute materials with 
    respect to the issues to be addressed at the meeting. Not later 
    than 30 days after the adjourning of such a meeting, the Advisory 
    Council shall prepare and make available a summary of the meeting 
    and any actions taken by the Council based upon the meeting.
    ``(f) Compensation and Expenses.--
        ``(1) Compensation.--Each member of the Advisory Council shall 
    be compensated at a rate equal to the daily equivalent of the 
    annual rate of basic pay prescribed for level IV of the Executive 
    Schedule under section 5315 of title 5, United States Code, for 
    each day (including travel time) during which such member is 
    engaged in the performance of the duties of the Council. All 
    members of the Council who are officers or employees of the United 
    States shall serve without compensation in addition to that 
    received for their services as officers or employees of the United 
    States.
        ``(2) Expenses.--The members of the Advisory Council shall be 
    allowed travel expenses, including per diem in lieu of subsistence, 
    at rates authorized for employees of agencies under subchapter I of 
    chapter 57 of title 5, United States Code, while away from their 
    homes or regular places of business in the performance of services 
    for the Council.
    ``(g) Funding.--Amounts appropriated under this title may be 
utilized by the Secretary to support the nurse education and practice 
activities of the Council.
    ``(h) FACA.--The Federal Advisory Committee Act shall apply to the 
Advisory Committee under this section only to the extent that the 
provisions of such Act do not conflict with the requirements of this 
section.''; and
        (6) by redesignating section 855 as section 810, and 
    transferring such section so as to appear after section 809 (as 
    added by the amendment made by paragraph (5)).

SEC. 124. SAVINGS PROVISION.

    In the case of any authority for making awards of grants or 
contracts that is terminated by the amendment made by section 123, the 
Secretary of Health and Human Services may, notwithstanding the 
termination of the authority, continue in effect any grant or contract 
made under the authority that is in effect on the day before the date 
of the enactment of this Act, subject to the duration of any such grant 
or contract not exceeding the period determined by the Secretary in 
first approving such financial assistance, or in approving the most 
recent request made (before the date of such enactment) for 
continuation of such assistance, as the case may be.

                    Subtitle C--Financial Assistance

              CHAPTER 1--SCHOOL-BASED REVOLVING LOAN FUNDS

SEC. 131. PRIMARY CARE LOAN PROGRAM.

    (a) Requirement for Schools.--Section 723(b)(1) of the Public 
Health Service Act (42 U.S.C. 292s(b)(1)), as amended by section 
2014(c)(2)(A)(ii) of Public Law 103-43 (107 Stat. 216), is amended by 
striking ``3 years before'' and inserting ``4 years before''.
    (b) Noncompliance.--Section 723(a)(3) of the Public Health Service 
Act (42 U.S.C. 292s(a)(3)) is amended to read as follows:
        ``(3) Noncompliance by student.--Each agreement entered into 
    with a student pursuant to paragraph (1) shall provide that, if the 
    student fails to comply with such agreement, the loan involved will 
    begin to accrue interest at a rate of 18 percent per year beginning 
    on the date of such noncompliance.''.
    (c) Report Requirement.--Section 723 of the Public Health Service 
Act (42 U.S.C. 292s) is amended--
        (1) by striking subsection (c); and
        (2) by redesignating subsection (d) as subsection (c).

SEC. 132. LOANS FOR DISADVANTAGED STUDENTS.

    (a) Authorization of Appropriations.--Section 724(f)(1) of the 
Public Health Service Act (42 U.S.C. 292t(f)(1)) is amended by striking 
``$15,000,000 for fiscal year 1993'' and inserting ``$8,000,000 for 
each of the fiscal years 1998 through 2002''.
    (b) Repeal.--Effective October 1, 2002, paragraph (1) of section 
724(f) of the Public Health Service Act (42 U.S.C. 292t(f)(1)) is 
repealed.

SEC. 133. STUDENT LOANS REGARDING SCHOOLS OF NURSING.

    (a) In General.--Section 836(b) of the Public Health Service Act 
(42 U.S.C. 297b(b)) is amended--
        (1) in paragraph (1), by striking the period at the end and 
    inserting a semicolon;
        (2) in paragraph (2)--
            (A) in subparagraph (A), by striking ``and'' at the end; 
        and
            (B) by inserting before the semicolon at the end the 
        following: ``, and (C) such additional periods under the terms 
        of paragraph (8) of this subsection'';
        (3) in paragraph (7), by striking the period at the end and 
    inserting ``; and''; and
        (4) by adding at the end the following paragraph:
        ``(8) pursuant to uniform criteria established by the 
    Secretary, the repayment period established under paragraph (2) for 
    any student borrower who during the repayment period failed to make 
    consecutive payments and who, during the last 12 months of the 
    repayment period, has made at least 12 consecutive payments may be 
    extended for a period not to exceed 10 years.''.
    (b) Minimum Monthly Payments.--Section 836(g) of the Public Health 
Service Act (42 U.S.C. 297b(g)) is amended by striking ``$15'' and 
inserting ``$40''.
    (c) Elimination of Statute of Limitation for Loan Collections.--
        (1) In general.--Section 836 of the Public Health Service Act 
    (42 U.S.C. 297b) is amended by adding at the end the following new 
    subsection:
    ``(l) Elimination of Statute of Limitation for Loan Collections.--
        ``(1) Purpose.--It is the purpose of this subsection to ensure 
    that obligations to repay loans under this section are enforced 
    without regard to any Federal or State statutory, regulatory, or 
    administrative limitation on the period within which debts may be 
    enforced.
        ``(2) Prohibition.--Notwithstanding any other provision of 
    Federal or State law, no limitation shall terminate the period 
    within which suit may be filed, a judgment may be enforced, or an 
    offset, garnishment, or other action may be initiated or taken by a 
    school of nursing that has an agreement with the Secretary pursuant 
    to section 835 that is seeking the repayment of the amount due from 
    a borrower on a loan made under this subpart after the default of 
    the borrower on such loan.''.
        (2) Effective date.--The amendment made by paragraph (1) shall 
    be effective with respect to actions pending on or after the date 
    of enactment of this Act.
    (d) Breach of Agreements.--Section 846 of the Public Health Service 
Act (42 U.S.C. 297n) is amended by adding at the end thereof the 
following new subsection:
    ``(h) Breach of Agreement.--
        ``(1) In general.--In the case of any program under this 
    section under which an individual makes an agreement to provide 
    health services for a period of time in accordance with such 
    program in consideration of receiving an award of Federal funds 
    regarding education as a nurse (including an award for the 
    repayment of loans), the following applies if the agreement 
    provides that this subsection is applicable:
            ``(A) In the case of a program under this section that 
        makes an award of Federal funds for attending an accredited 
        program of nursing (in this section referred to as a `nursing 
        program'), the individual is liable to the Federal Government 
        for the amount of such award (including amounts provided for 
        expenses related to such attendance), and for interest on such 
        amount at the maximum legal prevailing rate, if the 
        individual--
                ``(i) fails to maintain an acceptable level of academic 
            standing in the nursing program (as indicated by the 
            program in accordance with requirements established by the 
            Secretary);
                ``(ii) is dismissed from the nursing program for 
            disciplinary reasons; or
                ``(iii) voluntarily terminates the nursing program.
            ``(B) The individual is liable to the Federal Government 
        for the amount of such award (including amounts provided for 
        expenses related to such attendance), and for interest on such 
        amount at the maximum legal prevailing rate, if the individual 
        fails to provide health services in accordance with the program 
        under this section for the period of time applicable under the 
        program.
        ``(2) Waiver or suspension of liability.--In the case of an 
    individual or health facility making an agreement for purposes of 
    paragraph (1), the Secretary shall provide for the waiver or 
    suspension of liability under such subsection if compliance by the 
    individual or the health facility, as the case may be, with the 
    agreements involved is impossible, or would involve extreme 
    hardship to the individual or facility, and if enforcement of the 
    agreements with respect to the individual or facility would be 
    unconscionable.
        ``(3) Date certain for recovery.--Subject to paragraph (2), any 
    amount that the Federal Government is entitled to recover under 
    paragraph (1) shall be paid to the United States not later than the 
    expiration of the 3-year period beginning on the date the United 
    States becomes so entitled.
        ``(4) Availability.--Amounts recovered under paragraph (1) with 
    respect to a program under this section shall be available for the 
    purposes of such program, and shall remain available for such 
    purposes until expended.''.
    (e) Technical Amendments.--Section 839 of the Public Health Service 
Act (42 U.S.C. 297e) is amended--
        (1) in subsection (a)--
            (A) by striking the matter preceding paragraph (1) and 
        inserting the following:
    ``(a) If a school terminates a loan fund established under an 
agreement pursuant to section 835(b), or if the Secretary for good 
cause terminates the agreement with the school, there shall be a 
capital distribution as follows:''; and
            (B) in paragraph (1), by striking ``at the close of 
        September 30, 1999,'' and inserting ``on the date of 
        termination of the fund''; and
        (2) in subsection (b), to read as follows:
    ``(b) If a capital distribution is made under subsection (a), the 
school involved shall, after such capital distribution, pay to the 
Secretary, not less often than quarterly, the same proportionate share 
of amounts received by the school in payment of principal or interest 
on loans made from the loan fund established under section 835(b) as 
determined by the Secretary under subsection (a).''.

SEC. 134. GENERAL PROVISIONS.

    (a) Maximum Student Loan Provisions and Minimum Payments.--
        (1) In general.--Section 722(a)(1) of the Public Health Service 
    Act (42 U.S.C. 292r(a)(1)), as amended by section 2014(b)(1) of 
    Public Law 103-43, is amended by striking ``the sum of'' and all 
    that follows through the end thereof and inserting ``the cost of 
    attendance (including tuition, other reasonable educational 
    expenses, and reasonable living costs) for that year at the 
    educational institution attended by the student (as determined by 
    such educational institution).''.
        (2) Third and fourth years.--Section 722(a)(2) of the Public 
    Health Service Act (42 U.S.C. 292r(a)(2)), as amended by section 
    2014(b)(1) of Public Law 103-43, is amended by striking ``the 
    amount $2,500'' and all that follows through ``including such 
    $2,500)'' and inserting ``the amount of the loan may, in the case 
    of the third or fourth year of a student at a school of medicine or 
    osteopathic medicine, be increased to the extent necessary''.
        (3) Repayment period.--Section 722(c) of the Public Health 
    Service Act (42 U.S.C. 292r(c)), as amended by section 2014(b)(1) 
    of Public Law 103-43, is amended--
            (A) in the subsection heading by striking ``Ten-Year'' and 
        inserting ``Repayment'';
            (B) by striking ``ten-year period which begins'' and 
        inserting ``period of not less than 10 years nor more than 25 
        years, at the discretion of the institution, which begins''; 
        and
            (C) by striking ``such ten-year period'' and inserting 
        ``such period''.
        (4) Minimum payments.--Section 722(j) of the Public Health 
    Service Act (42 U.S.C. 292r(j)), as amended by section 2014(b)(1) 
    of Public Law 103-43, is amended by striking ``$15'' and inserting 
    ``$40''.
    (b) Elimination of Statute of Limitation for Loan Collections.--
        (1) In general.--Section 722 of the Public Health Service Act 
    (42 U.S.C. 292r), as amended by section 2014(b)(1) of Public Law 
    103-43, is amended by adding at the end the following new 
    subsection:
    ``(m) Elimination of Statute of Limitation for Loan Collections.--
        ``(1) Purpose.--It is the purpose of this subsection to ensure 
    that obligations to repay loans under this section are enforced 
    without regard to any Federal or State statutory, regulatory, or 
    administrative limitation on the period within which debts may be 
    enforced.
        ``(2) Prohibition.--Notwithstanding any other provision of 
    Federal or State law, no limitation shall terminate the period 
    within which suit may be filed, a judgment may be enforced, or an 
    offset, garnishment, or other action may be initiated or taken by a 
    school that has an agreement with the Secretary pursuant to section 
    721 that is seeking the repayment of the amount due from a borrower 
    on a loan made under this subpart after the default of the borrower 
    on such loan.''.
        (2) Effective date.--The amendment made by paragraph (1) shall 
    be effective with respect to actions pending on or after the date 
    of enactment of this Act.
    (c) Date Certain for Contributions.--Paragraph (2) of section 
735(e) of the Public Health Service Act (42 U.S.C. 292y(e)(2)) is 
amended to read as follows:
        ``(2) Date certain for contributions.--Amounts described in 
    paragraph (1) that are returned to the Secretary shall be obligated 
    before the end of the succeeding fiscal year.''.

   CHAPTER 2--INSURED HEALTH EDUCATION ASSISTANCE LOANS TO GRADUATE 
                                STUDENTS

SEC. 141. HEALTH EDUCATION ASSISTANCE LOAN PROGRAM.

    (a) Health Education Assistance Loan Deferment for Borrowers 
Providing Health Services to Indians.--
        (1) In general.--Section 705(a)(2)(C) of the Public Health 
    Service Act (42 U.S.C. 292d(a)(2)(C)) is amended by striking ``and 
    (x)'' and inserting ``(x) not in excess of three years, during 
    which the borrower is providing health care services to Indians 
    through an Indian health program (as defined in section 
    108(a)(2)(A) of the Indian Health Care Improvement Act (25 U.S.C. 
    1616a(a)(2)(A)); and (xi)''.
        (2) Conforming amendments.--Section 705(a)(2)(C) of the Public 
    Health Service Act (42 U.S.C. 292d(a)(2)(C)) is further amended--
            (A) in clause (xi) (as so redesignated) by striking 
        ``(ix)'' and inserting ``(x)''; and
            (B) in the matter following such clause (xi), by striking 
        ``(x)'' and inserting ``(xi)''.
        (3) Effective date.--The amendments made by this subsection 
    shall apply with respect to services provided on or after the first 
    day of the third month that begins after the date of the enactment 
    of this Act.
    (b) Report Requirement.--Section 709(b) of the Public Health 
Service Act (42 U.S.C. 292h(b)) is amended--
        (1) in paragraph (4)(B), by adding ``and'' after the semicolon;
        (2) in paragraph (5), by striking ``; and'' and inserting a 
    period; and
        (3) by striking paragraph (6).
    (c) Program Eligibility.--
        (1) Limitations on loans.--Section 703(a) of the Public Health 
    Service Act (42 U.S.C. 292b(a)) is amended by striking ``or 
    clinical psychology'' and inserting ``or behavioral and mental 
    health practice, including clinical psychology''.
        (2) Definition of eligible institution.--Section 719(1) of the 
    Public Health Service Act (42 U.S.C. 292o(1)) is amended by 
    striking ``or clinical psychology'' and inserting ``or behavioral 
    and mental health practice, including clinical psychology''.

SEC. 142. HEAL LENDER AND HOLDER PERFORMANCE STANDARDS.

    (a) General Amendments.--Section 707(a) of the Public Health 
Service Act (42 U.S.C. 292f) is amended--
        (1) by striking the last sentence;
        (2) by striking ``determined.'' and inserting ``determined, 
    except that, if the insurance beneficiary including any servicer of 
    the loan is not designated for `exceptional performance', as set 
    forth in paragraph (2), the Secretary shall pay to the beneficiary 
    a sum equal to 98 percent of the amount of the loss sustained by 
    the insured upon that loan.'';
        (3) by striking ``Upon'' and inserting:
        ``(1) In general.--Upon''; and
        (4) by adding at the end the following new paragraph:
        ``(2) Exceptional performance.--
            ``(A) Authority.--Where the Secretary determines that an 
        eligible lender, holder, or servicer has a compliance 
        performance rating that equals or exceeds 97 percent, the 
        Secretary shall designate that eligible lender, holder, or 
        servicer, as the case may be, for exceptional performance.
            ``(B) Compliance performance rating.--For purposes of 
        subparagraph (A), a compliance performance rating is determined 
        with respect to compliance with due diligence in the 
        disbursement, servicing, and collection of loans under this 
        subpart for each year for which the determination is made. Such 
        rating shall be equal to the percentage of all due diligence 
        requirements applicable to each loan, on average, as 
        established by the Secretary, with respect to loans serviced 
        during the period by the eligible lender, holder, or servicer.
            ``(C) Annual audits for lenders, holders, and servicers.--
        Each eligible lender, holder, or servicer desiring a 
        designation under subparagraph (A) shall have an annual 
        financial and compliance audit conducted with respect to the 
        loan portfolio of such eligible lender, holder, or servicer, by 
        a qualified independent organization from a list of qualified 
        organizations identified by the Secretary and in accordance 
        with standards established by the Secretary. The standards 
        shall measure the lender's, holder's, or servicer's compliance 
        with due diligence standards and shall include a defined 
        statistical sampling technique designed to measure the 
        performance rating of the eligible lender, holder, or servicer 
        for the purpose of this section. Each eligible lender, holder, 
        or servicer shall submit the audit required by this section to 
        the Secretary.
            ``(D) Secretary's determinations.--The Secretary shall make 
        the determination under subparagraph (A) based upon the audits 
        submitted under this paragraph and any information in the 
        possession of the Secretary or submitted by any other agency or 
        office of the Federal Government.
            ``(E) Quarterly compliance audit.--To maintain its status 
        as an exceptional performer, the lender, holder, or servicer 
        shall undergo a quarterly compliance audit at the end of each 
        quarter (other than the quarter in which status as an 
        exceptional performer is established through a financial and 
        compliance audit, as described in subparagraph (C)), and submit 
        the results of such audit to the Secretary. The compliance 
        audit shall review compliance with due diligence requirements 
        for the period beginning on the day after the ending date of 
        the previous audit, in accordance with standards determined by 
        the Secretary.
            ``(F) Revocation authority.--The Secretary shall revoke the 
        designation of a lender, holder, or servicer under subparagraph 
        (A) if any quarterly audit required under subparagraph (E) is 
        not received by the Secretary by the date established by the 
        Secretary or if the audit indicates the lender, holder, or 
        servicer has failed to meet the standards for designation as an 
        exceptional performer under subparagraph (A). A lender, holder, 
        or servicer receiving a compliance audit not meeting the 
        standard for designation as an exceptional performer may 
        reapply for designation under subparagraph (A) at any time.
            ``(G) Documentation.--Nothing in this section shall 
        restrict or limit the authority of the Secretary to require the 
        submission of claims documentation evidencing servicing 
        performed on loans, except that the Secretary may not require 
        exceptional performers to submit greater documentation than 
        that required for lenders, holders, and servicers not 
        designated under subparagraph (A).
            ``(H) Cost of audits.--Each eligible lender, holder, or 
        servicer shall pay for all the costs associated with the audits 
        required under this section.
            ``(I) Additional revocation authority.--Notwithstanding any 
        other provision of this section, a designation under 
        subparagraph (A) may be revoked at any time by the Secretary if 
        the Secretary determines that the eligible lender, holder, or 
        servicer has failed to maintain an overall level of compliance 
        consistent with the audit submitted by the eligible lender, 
        holder, or servicer under this paragraph or if the Secretary 
        asserts that the lender, holder, or servicer may have engaged 
        in fraud in securing designation under subparagraph (A) or is 
        failing to service loans in accordance with program 
        requirements.
            ``(J) Noncompliance.--A lender, holder, or servicer 
        designated under subparagraph (A) that fails to service loans 
        or otherwise comply with applicable program regulations shall 
        be considered in violation of the Federal False Claims Act.''.
    (b) Definition.--Section 707(e) of the Public Health Service Act 
(42 U.S.C. 292f(e)) is amended by adding at the end the following new 
paragraph:
        ``(4) The term `servicer' means any agency acting on behalf of 
    the insurance beneficiary.''.
    (c) Effective Date.--The amendments made by subsections (a) and (b) 
shall apply with respect to loans submitted to the Secretary for 
payment on or after the first day of the sixth month that begins after 
the date of enactment of this Act.

SEC. 143. INSURANCE PROGRAM.

    Section 710(a)(2)(B) of the Public Health Service Act (42 U.S.C. 
292i(a)(2)(B)) is amended by striking ``any of the fiscal years 1993 
through 1996'' and inserting ``fiscal year 1993 and subsequent fiscal 
years''.

SEC. 144. HEAL BANKRUPTCY.

    (a) In General.--Section 707(g) of the Public Health Service Act 
(42 U.S.C. 292f(g)) is amended in the first sentence by striking ``A 
debt which is a loan insured'' and inserting ``Notwithstanding any 
other provision of Federal or State law, a debt that is a loan 
insured''.
    (b) Application.--The amendment made by subsection (a) shall apply 
to any loan insured under the authority of subpart I of part A of title 
VII of the Public Health Service Act (42 U.S.C. 292 et seq.) that is 
listed or scheduled by the debtor in a case under title XI, United 
States Code, filed--
        (1) on or after the date of enactment of this Act; or
        (2) prior to such date of enactment in which a discharge has 
    not been granted.

SEC. 145. HEAL REFINANCING.

    Section 706 of the Public Health Service Act (42 U.S.C. 292e) is 
amended--
        (1) in subsection (d)--
            (A) in the subsection heading, by striking 
        ``Consolidation'' and inserting ``Refinancing or 
        Consolidation''; and
            (B) in the first sentence, by striking ``indebtedness'' and 
        inserting ``indebtedness or the refinancing of a single loan''; 
        and
        (2) in subsection (e)--
            (A) in the subsection heading, by striking ``Debts'' and 
        inserting ``Debts and Refinancing'';
            (B) in the first sentence, by striking ``all of the 
        borrower's debts into a single instrument'' and inserting ``all 
        of the borrower's loans insured under this subpart into a 
        single instrument (or, if the borrower obtained only 1 loan 
        insured under this subpart, refinancing the loan 1 time)''; and
            (C) in the second sentence, by striking ``consolidation'' 
        and inserting ``consolidation or refinancing''.

                  TITLE II--OFFICE OF MINORITY HEALTH

    SEC. 201. REVISION AND EXTENSION OF PROGRAMS OF OFFICE OF MINORITY 
      HEALTH.
    (a) Duties and Requirements.--Section 1707 of the Public Health 
Service Act (42 U.S.C. 300u-6) is amended by striking subsection (b) 
and all that follows and inserting the following:
    ``(b) Duties.--With respect to improving the health of racial and 
ethnic minority groups, the Secretary, acting through the Deputy 
Assistant Secretary for Minority Health (in this section referred to as 
the `Deputy Assistant Secretary'), shall carry out the following:
        ``(1) Establish short-range and long-range goals and objectives 
    and coordinate all other activities within the Public Health 
    Service that relate to disease prevention, health promotion, 
    service delivery, and research concerning such individuals. The 
    heads of each of the agencies of the Service shall consult with the 
    Deputy Assistant Secretary to ensure the coordination of such 
    activities.
        ``(2) Enter into interagency agreements with other agencies of 
    the Public Health Service.
        ``(3) Support research, demonstrations and evaluations to test 
    new and innovative models.
        ``(4) Increase knowledge and understanding of health risk 
    factors.
        ``(5) Develop mechanisms that support better information 
    dissemination, education, prevention, and service delivery to 
    individuals from disadvantaged backgrounds, including individuals 
    who are members of racial or ethnic minority groups.
        ``(6) Ensure that the National Center for Health Statistics 
    collects data on the health status of each minority group.
        ``(7) With respect to individuals who lack proficiency in 
    speaking the English language, enter into contracts with public and 
    nonprofit private providers of primary health services for the 
    purpose of increasing the access of the individuals to such 
    services by developing and carrying out programs to provide 
    bilingual or interpretive services.
        ``(8) Support a national minority health resource center to 
    carry out the following:
            ``(A) Facilitate the exchange of information regarding 
        matters relating to health information and health promotion, 
        preventive health services, and education in the appropriate 
        use of health care.
            ``(B) Facilitate access to such information.
            ``(C) Assist in the analysis of issues and problems 
        relating to such matters.
            ``(D) Provide technical assistance with respect to the 
        exchange of such information (including facilitating the 
        development of materials for such technical assistance).
        ``(9) Carry out programs to improve access to health care 
    services for individuals with limited proficiency in speaking the 
    English language. Activities under the preceding sentence shall 
    include developing and evaluating model projects.
    ``(c) Advisory Committee.--
        ``(1) In general.--The Secretary shall establish an advisory 
    committee to be known as the Advisory Committee on Minority Health 
    (in this subsection referred to as the `Committee').
        ``(2) Duties.--The Committee shall provide advice to the Deputy 
    Assistant Secretary carrying out this section, including advice on 
    the development of goals and specific program activities under 
    paragraphs (1) through (9) of subsection (b) for each racial and 
    ethnic minority group.
        ``(3) Chair.--The chairperson of the Committee shall be 
    selected by the Secretary from among the members of the voting 
    members of the Committee. The term of office of the chairperson 
    shall be 2 years.
        ``(4) Composition.--
            ``(A) The Committee shall be composed of 12 voting members 
        appointed in accordance with subparagraph (B), and nonvoting, 
        ex officio members designated in subparagraph (C).
            ``(B) The voting members of the Committee shall be 
        appointed by the Secretary from among individuals who are not 
        officers or employees of the Federal Government and who have 
        expertise regarding issues of minority health. The racial and 
        ethnic minority groups shall be equally represented among such 
        members.
            ``(C) The nonvoting, ex officio members of the Committee 
        shall be such officials of the Department of Health and Human 
        Services as the Secretary determines to be appropriate.
        ``(5) Terms.--Each member of the Committee shall serve for a 
    term of 4 years, except that the Secretary shall initially appoint 
    a portion of the members to terms of 1 year, 2 years, and 3 years.
        ``(6) Vacancies.--If a vacancy occurs on the Committee, a new 
    member shall be appointed by the Secretary within 90 days from the 
    date that the vacancy occurs, and serve for the remainder of the 
    term for which the predecessor of such member was appointed. The 
    vacancy shall not affect the power of the remaining members to 
    execute the duties of the Committee.
        ``(7) Compensation.--Members of the Committee who are officers 
    or employees of the United States shall serve without compensation. 
    Members of the Committee who are not officers or employees of the 
    United States shall receive compensation, for each day (including 
    travel time) they are engaged in the performance of the functions 
    of the Committee. Such compensation may not be in an amount in 
    excess of the daily equivalent of the annual maximum rate of basic 
    pay payable under the General Schedule (under title 5, United 
    States Code) for positions above GS-15.
    ``(d) Certain Requirements Regarding Duties.--
        ``(1) Recommendations regarding language as impediment to 
    health care.--The Deputy Assistant Secretary for Minority Health 
    shall consult with the Director of the Office of International and 
    Refugee Health, the Director of the Office of Civil Rights, and the 
    Directors of other appropriate departmental entities regarding 
    recommendations for carrying out activities under subsection 
    (b)(9).
        ``(2) Equitable allocation regarding activities.--In carrying 
    out subsection (b), the Secretary shall ensure that services 
    provided under such subsection are equitably allocated among all 
    groups served under this section by the Secretary.
        ``(3) Cultural competency of services.--The Secretary shall 
    ensure that information and services provided pursuant to 
    subsection (b) are provided in the language, educational, and 
    cultural context that is most appropriate for the individuals for 
    whom the information and services are intended.
    ``(e) Grants and Contracts Regarding Duties.--
        ``(1) In general.--In carrying out subsection (b), the 
    Secretary acting through the Deputy Assistant Secretary may make 
    awards of grants, cooperative agreements, and contracts to public 
    and nonprofit private entities.
        ``(2) Process for making awards.--The Deputy Assistant 
    Secretary shall ensure that awards under paragraph (1) are made, to 
    the extent practical, only on a competitive basis, and that a grant 
    is awarded for a proposal only if the proposal has been recommended 
    for such an award through a process of peer review.
        ``(3) Evaluation and dissemination.--The Deputy Assistant 
    Secretary, directly or through contracts with public and private 
    entities, shall provide for evaluations of projects carried out 
    with awards made under paragraph (1) during the preceding 2 fiscal 
    years. The report shall be included in the report required under 
    subsection (f) for the fiscal year involved.
    ``(f) Reports.--
        ``(1) In general.--Not later than February 1 of fiscal year 
    1999 and of each second year thereafter, the Secretary shall submit 
    to the Committee on Energy and Commerce of the House of 
    Representatives, and to the Committee on Labor and Human Resources 
    of the Senate, a report describing the activities carried out under 
    this section during the preceding 2 fiscal years and evaluating the 
    extent to which such activities have been effective in improving 
    the health of racial and ethnic minority groups. Each such report 
    shall include the biennial reports submitted under sections 
    201(e)(3) and 201(f)(2) for such years by the heads of the Public 
    Health Service agencies.
        ``(2) Agency reports.--Not later than February 1, 1999, and 
    biennially thereafter, the heads of the Public Health Service 
    agencies shall submit to the Deputy Assistant Secretary a report 
    summarizing the minority health activities of each of the 
    respective agencies.
    ``(g) Definition.--For purposes of this section:
        ``(1) The term `racial and ethnic minority group' means 
    American Indians (including Alaska Natives, Eskimos, and Aleuts); 
    Asian Americans and Pacific Islanders; Blacks; and Hispanics.
        ``(2) The term `Hispanic' means individuals whose origin is 
    Mexican, Puerto Rican, Cuban, Central or South American, or any 
    other Spanish-speaking country.
    ``(h) Funding.--
        ``(1) Authorization of appropriations.--For the purpose of 
    carrying out this section, there are authorized to be appropriated 
    $30,000,000 for fiscal year 1998, and such sums as may be necessary 
    for each of the fiscal years 1999 through 2002.''.
    (b) Authorization for National Center for Health Statistics.--
Section 306 of the Public Health Service Act (42 U.S.C. 242k) is 
amended--
        (1) in subsection (m), by adding at the end the following:
    ``(4)(A) Subject to subparagraph (B), the Secretary, acting through 
the Center, shall collect data on Hispanics and major Hispanic 
subpopulation groups and American Indians, and for developing special 
area population studies on major Asian American and Pacific Islander 
populations.
    ``(B) The provisions of subparagraph (A) shall be effective with 
respect to a fiscal year only to the extent that funds are appropriated 
pursuant to paragraph (3) of subsection (n), and only if the amounts 
appropriated for such fiscal year pursuant to each of paragraphs (1) 
and (2) of subsection (n) equal or exceed the amounts so appropriated 
for fiscal year 1997.'';
        (2) in subsection (n)(1), by striking ``through 1998'' and 
    inserting ``through 2003''; and
        (3) in subsection (n)--
            (A) in the first sentence of paragraph (2)--
                (i) by striking ``authorized in subsection (m)'' and 
            inserting ``authorized in paragraphs (1) through (3) of 
            subsection (m)''; and
                (ii) by striking ``$5,000,000'' and all that follows 
            through the period and inserting ``such sums as may be 
            necessary for each of the fiscal years 1999 through 
            2003.''; and
            (B) by adding at the end the following:
    ``(3) For activities authorized in subsection (m)(4), there are 
authorized to be appropriated $1,000,000 for fiscal year 1998, and such 
sums as may be necessary for each of the fiscal years 1999 through 
2002.''.
    (c) Miscellaneous Amendments.--Section 1707 of the Public Health 
Service Act (42 U.S.C. 300u-6) is amended--
        (1) in the heading for the section by striking ``establishment 
    of''; and
        (2) in subsection (a), by striking ``Office of the Assistant 
    Secretary for Health'' and inserting ``Office of Public Health and 
    Science''.

                    TITLE III--SELECTED INITIATIVES

SEC. 301. STATE OFFICES OF RURAL HEALTH.

    Section 338J of the Public Health Service Act (42 U.S.C. 254r) is 
amended--
        (1) in subsection (b)(1), in the matter preceding subparagraph 
    (A), by striking ``in cash''; and
        (2) in subsection (j)(1)--
            (A) by striking ``and'' after ``1992,''; and
            (B) by inserting before the period the following: ``, and 
        such sums as may be necessary for each of the fiscal years 1998 
        through 2002''; and
        (3) in subsection (k), by striking ``$10,000,000'' and 
    inserting ``$36,000,000''.
    SEC. 302. DEMONSTRATION PROJECTS REGARDING ALZHEIMER'S DISEASE.
    (a) In General.--Section 398(a) of the Public Health Service Act 
(42 U.S.C. 280c-3(a)) is amended--
        (1) in the matter preceding paragraph (1), by striking ``not 
    less than 5, and not more than 15,'';
        (2) in paragraph (2)--
            (A) by inserting after ``disorders'' the following: ``who 
        are living in single family homes or in congregate settings''; 
        and
            (B) by striking ``and'' at the end;
        (3) by redesignating paragraph (3) as paragraph (4); and
        (4) by inserting after paragraph (2) the following:
        ``(3) to improve the access of such individuals to home-based 
    or community-based long-term care services (subject to the services 
    being provided by entities that were providing such services in the 
    State involved as of October 1, 1995), particularly such 
    individuals who are members of racial or ethnic minority groups, 
    who have limited proficiency in speaking the English language, or 
    who live in rural areas; and''.
    (b) Duration.--Section 398A of the Public Health Service Act (42 
U.S.C. 280c-4) is amended--
        (1) in the heading for the section, by striking ``LIMITATION'' 
    and all that follows and inserting ``REQUIREMENT OF MATCHING 
    FUNDS'';
        (2) by striking subsection (a);
        (3) by redesignating subsections (b) and (c) as subsections (a) 
    and (b), respectively; and
        (4) in subsection (a) (as so redesignated), in each of 
    paragraphs (1)(C) and (2)(C), by striking ``third year'' and 
    inserting ``third or subsequent year''.
    (c) Authorization of Appropriations.--Section 398B(e) of the Public 
Health Service Act (42 U.S.C. 280c-5(e)) is amended--
        (1) by striking ``and such sums'' and inserting ``such sums''; 
    and
        (2) by inserting before the period the following: ``, 
    $8,000,000 for fiscal year 1998, and such sums as may be necessary 
    for each of the fiscal years 1999 through 2002''.

SEC. 303. PROJECT GRANTS FOR IMMUNIZATION SERVICES.

    Section 317(j) of the Public Health Service Act (42 U.S.C. 247b(j)) 
is amended--
        (1) in paragraph (1), by striking ``individuals against 
    vaccine-preventable diseases'' and all that follows through the 
    first period and inserting the following: ``children, adolescents, 
    and adults against vaccine-preventable diseases, there are 
    authorized to be appropriated such sums as may be necessary for 
    each of the fiscal years 1998 through 2002.''; and
        (2) in paragraph (2), by striking ``1990'' and inserting 
    ``1997''.

                   TITLE IV--MISCELLANEOUS PROVISIONS

    SEC. 401. TECHNICAL CORRECTIONS REGARDING PUBLIC LAW 103-183.
    (a) Amendatory Instructions.--Public Law 103-183 is amended--
        (1) in section 601--
            (A) in subsection (b), in the matter preceding paragraph 
        (1), by striking ``Section 1201 of the Public Health Service 
        Act (42 U.S.C. 300d)'' and inserting ``Title XII of the Public 
        Health Service Act (42 U.S.C. 300d et seq.)''; and
            (B) in subsection (f)(1), by striking ``in section 
        1204(c)'' and inserting ``in section 1203(c) (as redesignated 
        by subsection (b)(2) of this section)'';
        (2) in section 602, by striking ``for the purpose'' and 
    inserting ``For the purpose''; and
        (3) in section 705(b), by striking ``317D((l)(1)'' and 
    inserting ``317D(l)(1)''.
    (b) Public Health Service Act.--The Public Health Service Act, as 
amended by Public Law 103-183 and by subsection (a) of this section, is 
amended--
        (1) in section 317E(g)(2), by striking ``making grants under 
    subsection (b)'' and inserting ``carrying out subsection (b)'';
        (2) in section 318, in subsection (e) as in effect on the day 
    before the date of the enactment of Public Law 103-183, by 
    redesignating the subsection as subsection (f);
        (3) in subpart 6 of part C of title IV--
            (A) by transferring the first section 447 (added by section 
        302 of Public Law 103-183) from the current placement of the 
        section;
            (B) by redesignating the section as section 447A; and
            (C) by inserting the section after section 447;
        (4) in section 1213(a)(8), by striking ``provides for for'' and 
    inserting ``provides for'';
        (5) in section 1501, by redesignating the second subsection (c) 
    (added by section 101(f) of Public Law 103-183) as subsection (d); 
    and
        (6) in section 1505(3), by striking ``nonprofit''.
    (c) Miscellaneous Correction.--Section 401(c)(3) of Public Law 103-
183 is amended in the matter preceding subparagraph (A) by striking 
``(d)(5)'' and inserting ``(e)(5)''.
    (d) Conforming Amendment.--Section 308(b) of the Public Health 
Service Act (42 U.S.C. 242m(b)) is amended--
        (1) in paragraph (2)(A), by striking ``306(n)'' and inserting 
    ``306(m)''; and
        (2) in paragraph (2)(C), by striking ``306(n)'' and inserting 
    ``306(m)''.
    (e) Effective Date.--This section is deemed to have taken effect 
immediately after the enactment of Public Law 103-183.
    SEC. 402. MISCELLANEOUS AMENDMENTS REGARDING PHS COMMISSIONED 
      OFFICERS.
    (a) Anti-Discrimination Laws.--Amend section 212 of the Public 
Health Service Act (42 U.S.C. 213) by adding the following new 
subsection at the end thereof:
    ``(f) Active service of commissioned officers of the Service shall 
be deemed to be active military service in the Armed Forces of the 
United States for purposes of all laws related to discrimination on the 
basis of race, color, sex, ethnicity, age, religion, and disability.''.
    (b) Training in Leave Without Pay Status.--Section 218 of the 
Public Health Service Act (42 U.S.C. 218a) is amended by adding at the 
end the following:
    ``(c) A commissioned officer may be placed in leave without pay 
status while attending an educational institution or training program 
whenever the Secretary determines that such status is in the best 
interest of the Service. For purposes of computation of basic pay, 
promotion, retirement, compensation for injury or death, and the 
benefits provided by sections 212 and 224, an officer in such status 
pursuant to the preceding sentence shall be considered as performing 
service in the Service and shall have an active service obligation as 
set forth in subsection (b) of this section.''.
    (c) Utilization of Alcohol and Drug Abuse Records That Apply to the 
Armed Forces.--Section 543(e) of the Public Health Service Act (42 
U.S.C. 290dd-2(e)) is amended by striking ``Armed Forces'' each place 
that such term appears and inserting ``Uniformed Services''.

SEC. 403. CLINICAL TRAINEESHIPS.

    Section 303(d)(1) of the Public Health Service Act (42 U.S.C. 
242a(d)(1)) is amended by inserting ``counseling,'' after ``family 
therapy,''.
    SEC. 404. PROJECT GRANTS FOR SCREENINGS, REFERRALS, AND EDUCATION 
      REGARDING LEAD POISONING.
    Section 317A(l)(1) of the Public Health Service Act (42 U.S.C. 
247b-1(l)(1)) is amended by striking ``1998'' and inserting ``2002''.
    SEC. 405. PROJECT GRANTS FOR PREVENTIVE HEALTH SERVICES REGARDING 
      TUBERCULOSIS.
    Section 317E(g) of the Public Health Service Act (42 U.S.C. 247b-
6(g)(1)) is amended--
        (1) in paragraph (1)--
            (A) in subparagraph (A), by striking ``1998'' and inserting 
        ``2002''; and
            (B) in subparagraph (B), by striking ``$50,000,000'' and 
        inserting ``25 percent''; and
        (2) in paragraph (2), by striking ``1998'' and inserting 
    ``2002''.

SEC. 406. CDC LOAN REPAYMENT PROGRAM.

    Section 317F of the Public Health Service Act (42 U.S.C. 247b-7) is 
amended--
        (1) in subsection (a)(1), by striking ``$20,000'' and inserting 
    ``$35,000'';
        (2) in subsection (c), by striking ``1998'' and inserting 
    ``2002''; and
        (3) by adding at the end the following:
    ``(d) Availability of Appropriations.--Amounts appropriated for a 
fiscal year for contracts under subsection (a) shall remain available 
until the expiration of the second fiscal year beginning after the 
fiscal year for which the amounts were appropriated.''.

SEC. 407. COMMUNITY PROGRAMS ON DOMESTIC VIOLENCE.

    (a) In General.--Section 318(h)(2) of the Family Violence 
Prevention and Services Act (42 U.S.C. 10418(h)(2)) is amended by 
striking ``fiscal year 1997'' and inserting ``for each of the fiscal 
years 1997 through 2002''.
    (b) Study.--The Secretary of Health and Human Services shall 
request that the Institute of Medicine conduct a study concerning the 
training needs of health professionals with respect to the detection 
and referral of victims of family or acquaintance violence. Not later 
than 2 years after the date of enactment of this Act, the Institute of 
Medicine shall prepare and submit to Congress a report concerning the 
study conducted under this subsection.

SEC. 408. STATE LOAN REPAYMENT PROGRAM.

    Section 338I(i)(1) of the Public Health Service Act (42 U.S.C. 
254q-1(i)(1)) is amended by inserting before the period ``, and such 
sums as may be necessary for each of the fiscal years 1998 through 
2002''.

SEC. 409. AUTHORITY OF THE DIRECTOR OF NIH.

    Section 402(b) of the Public Health Service Act (42 U.S.C. 282(b)) 
is amended--
        (1) in paragraph (11), by striking ``and'' at the end thereof;
        (2) in paragraph (12), by striking the period and inserting a 
    semicolon; and
        (3) by adding after paragraph (12), the following new 
    paragraphs:
        ``(13) may conduct and support research training--
            ``(A) for which fellowship support is not provided under 
        section 487; and
            ``(B) which does not consist of residency training of 
        physicians or other health professionals; and
        ``(14) may appoint physicians, dentists, and other health care 
    professionals, subject to the provisions of title 5, United States 
    Code, relating to appointments and classifications in the 
    competitive service, and may compensate such professionals subject 
    to the provisions of chapter 74 of title 38, United States Code.''.

SEC. 410. RAISE IN MAXIMUM LEVEL OF LOAN REPAYMENTS.

    (a) Repayment Programs With Respect to AIDS.--Section 487A of the 
Public Health Service Act (42 U.S.C. 288-1) is amended--
        (1) in subsection (a), by striking ``$20,000'' and inserting 
    ``$35,000''; and
        (2) in subsection (c), by striking ``1996'' and inserting 
    ``2001''.
    (b) Repayment Programs With Respect to Contraception and 
Infertility.--Section 487B(a) of the Public Health Service Act (42 
U.S.C. 288-2(a)) is amended by striking ``$20,000'' and inserting 
``$35,000''.
    (c) Repayment Programs With Respect to Research Generally.--Section 
487C(a)(1) of the Public Health Service Act (42 U.S.C. 288-3(a)(1)) is 
amended by striking ``$20,000'' and inserting ``$35,000''.
    (d) Repayment Programs With Respect to Clinical Researchers From 
Disadvantaged Backgrounds.--Section 487E(a) of the Public Health 
Service Act (42 U.S.C. 288-5(a)) is amended--
        (1) in paragraph (1), by striking ``$20,000'' and inserting 
    ``$35,000''; and
        (2) in paragraph (3), by striking ``338C'' and inserting 
    ``338B, 338C''.
    SEC. 411. CONSTRUCTION OF REGIONAL CENTERS FOR RESEARCH ON 
      PRIMATES.
    Section 481B(a) of the Public Health Service Act (42 U.S.C. 287a-
3(a)) is amended--
        (1) by striking ``shall'' and inserting ``may''; and
        (2) by striking ``$5,000,000'' and inserting ``up to 
    $2,500,000''.

SEC. 412. PEER REVIEW.

    Section 504(d)(2) of the Public Health Service Act (42 U.S.C. 
290aa-3(d)(2)) is amended by striking ``cooperative agreement, or 
contract'' each place that such term appears and inserting ``or 
cooperative agreement''.

SEC. 413. FUNDING FOR TRAUMA CARE.

    Section 1232(a) of the Public Health Service Act (42 U.S.C. 300d-
32) is amended by striking ``and 1996'' and inserting ``through 2002''.

SEC. 414. HEALTH INFORMATION AND HEALTH PROMOTION.

    Section 1701(b) of the Public Health Service Act (42 U.S.C. 
300u(b)) is amended by striking ``through 1996'' and inserting 
``through 2002''.

SEC. 415. EMERGENCY MEDICAL SERVICES FOR CHILDREN.

    Section 1910 of the Public Health Service Act (42 U.S.C. 300w-9) is 
amended--
        (1) in subsection (a)--
            (A) by striking ``two-year period'' and inserting ``3-year 
        period (with an optional 4th year based on performance)''; and
            (B) by striking ``one grant'' and inserting ``3 grants''; 
        and
        (2) in subsection (d), by striking ``1997'' and inserting 
    ``2005''.

SEC. 416. ADMINISTRATION OF CERTAIN REQUIREMENTS.

    (a) In General.--Section 2004 of Public Law 103-43 (107 Stat. 209) 
is amended by striking subsection (a).
    (b) Conforming Amendments.--Section 2004 of Public Law 103-43, as 
amended by subsection (a) of this section, is amended--
        (1) by striking ``(b) Sense'' and all that follows through ``In 
    the case'' and inserting the following:
    ``(a) Sense of Congress Regarding Purchase of American-Made 
Equipment and Products.--In the case'';
        (2) by striking ``(2) Notice to recipients of assistance'' and 
    inserting the following:
    ``(b) Notice to Recipients of Assistance''; and
        (3) in subsection (b), as redesignated by paragraph (2) of this 
    subsection, by striking ``paragraph (1)'' and inserting 
    ``subsection (a)''.
    (c) Effective Date.--This section is deemed to have taken effect 
immediately after the enactment of Public Law 103-43.

SEC. 417. AIDS DRUG ASSISTANCE PROGRAM.

    Section 2618(b)(3) of the Public Health Service Act (42 U.S.C. 
300ff-28(b)(3)) is amended--
        (1) in subparagraph (A), by striking ``and the Commonwealth of 
    Puerto Rico'' and inserting ``, the Commonwealth of Puerto Rico, 
    the Virgin Islands, and Guam''; and
        (2) in subparagraph (B), by striking ``the Virgin Islands, 
    Guam''.

SEC. 418. NATIONAL FOUNDATION FOR BIOMEDICAL RESEARCH.

    Part I of title IV of the Public Health Service Act (42 U.S.C. 290b 
et seq.) is amended--
        (1) by striking the part heading and inserting the following:

     ``PART I--FOUNDATION FOR THE NATIONAL INSTITUTES OF HEALTH'';

    and
        (2) in section 499--
            (A) in subsection (a), by striking ``National Foundation 
        for Biomedical Research'' and inserting ``Foundation for the 
        National Institutes of Health'';
            (B) in subsection (k)(10)--
                (i) by striking ``not''; and
                (ii) by adding at the end the following: ``Any funds 
            transferred under this paragraph shall be subject to all 
            Federal limitations relating to federally-funded 
            research.''; and
            (C) in subsection (m)(1), by striking ``$200,000'' and all 
        that follows through ``1995'' and inserting ``$500,000 for each 
        fiscal year''.

SEC. 419. FETAL ALCOHOL SYNDROME PREVENTION AND SERVICES.

    (a) Short Title.--This section may be cited as the ``Fetal Alcohol 
Syndrome and Fetal Alcohol Effect Prevention and Services Act''.
    (b) Findings.--Congress finds that--
        (1) Fetal Alcohol Syndrome is the leading preventable cause of 
    mental retardation, and it is 100 percent preventable;
        (2) estimates on the number of children each year vary, but 
    according to some researchers, up to 12,000 infants are born in the 
    United States with Fetal Alcohol Syndrome, suffering irreversible 
    physical and mental damage;
        (3) thousands more infants are born each year with Fetal 
    Alcohol Effect, also known as Alcohol Related Neurobehavioral 
    Disorder (ARND), a related and equally tragic syndrome;
        (4) children of women who use alcohol while pregnant have a 
    significantly higher infant mortality rate (13.3 per 1,000) than 
    children of those women who do not use alcohol (8.6 per 1,000);
        (5) Fetal Alcohol Syndrome and Fetal Alcohol Effect are 
    national problems which can impact any child, family, or community, 
    but their threat to American Indians and Alaska Natives is 
    especially alarming;
        (6) in some American Indian communities, where alcohol 
    dependency rates reach 50 percent and above, the chances of a 
    newborn suffering Fetal Alcohol Syndrome or Fetal Alcohol Effect 
    are up to 30 times greater than national averages;
        (7) in addition to the immeasurable toll on children and their 
    families, Fetal Alcohol Syndrome and Fetal Alcohol Effect pose 
    extraordinary financial costs to the Nation, including the costs of 
    health care, education, foster care, job training, and general 
    support services for affected individuals;
        (8) the total cost to the economy of Fetal Alcohol Syndrome was 
    approximately $2,500,000,000 in 1995, and over a lifetime, health 
    care costs for one Fetal Alcohol Syndrome child are estimated to be 
    at least $1,400,000;
        (9) researchers have determined that the possibility of giving 
    birth to a baby with Fetal Alcohol Syndrome or Fetal Alcohol Effect 
    increases in proportion to the amount and frequency of alcohol 
    consumed by a pregnant woman, and that stopping alcohol consumption 
    at any point in the pregnancy reduces the emotional, physical, and 
    mental consequences of alcohol exposure to the baby; and
        (10) though approximately 1 out of every 5 pregnant women drink 
    alcohol during their pregnancy, we know of no safe dose of alcohol 
    during pregnancy, or of any safe time to drink during pregnancy, 
    thus, it is in the best interest of the Nation for the Federal 
    Government to take an active role in encouraging all women to 
    abstain from alcohol consumption during pregnancy.
    (c) Purpose.--It is the purpose of this section to establish, 
within the Department of Health and Human Services, a comprehensive 
program to help prevent Fetal Alcohol Syndrome and Fetal Alcohol Effect 
nationwide and to provide effective intervention programs and services 
for children, adolescents and adults already affected by these 
conditions. Such program shall--
        (1) coordinate, support, and conduct national, State, and 
    community-based public awareness, prevention, and education 
    programs on Fetal Alcohol Syndrome and Fetal Alcohol Effect;
        (2) coordinate, support, and conduct prevention and 
    intervention studies as well as epidemiologic research concerning 
    Fetal Alcohol Syndrome and Fetal Alcohol Effect;
        (3) coordinate, support and conduct research and demonstration 
    projects to develop effective developmental and behavioral 
    interventions and programs that foster effective advocacy, 
    educational and vocational training, appropriate therapies, 
    counseling, medical and mental health, and other supportive 
    services, as well as models that integrate or coordinate such 
    services, aimed at the unique challenges facing individuals with 
    Fetal Alcohol Syndrome or Fetal Alcohol Effect and their families; 
    and
        (4) foster coordination among all Federal, State and local 
    agencies, and promote partnerships between research institutions 
    and communities that conduct or support Fetal Alcohol Syndrome and 
    Fetal Alcohol Effect research, programs, surveillance, prevention, 
    and interventions and otherwise meet the general needs of 
    populations already affected or at risk of being impacted by Fetal 
    Alcohol Syndrome and Fetal Alcohol Effect.
    (d) Establishment of Program.--Title III of the Public Health 
Service Act (42 U.S.C. 241 et seq.) is amended by adding at the end the 
following:

    ``PART O--FETAL ALCOHOL SYNDROME PREVENTION AND SERVICES PROGRAM

``SEC. 399G. ESTABLISHMENT OF FETAL ALCOHOL SYNDROME PREVENTION AND 
SERVICES PROGRAM.
    ``(a) Fetal Alcohol Syndrome Prevention, Intervention and Services 
Delivery Program.--The Secretary shall establish a comprehensive Fetal 
Alcohol Syndrome and Fetal Alcohol Effect prevention, intervention and 
services delivery program that shall include--
        ``(1) an education and public awareness program to support, 
    conduct, and evaluate the effectiveness of--
            ``(A) educational programs targeting medical schools, 
        social and other supportive services, educators and counselors 
        and other service providers in all phases of childhood 
        development, and other relevant service providers, concerning 
        the prevention, identification, and provision of services for 
        children, adolescents and adults with Fetal Alcohol Syndrome 
        and Fetal Alcohol Effect;
            ``(B) strategies to educate school-age children, including 
        pregnant and high risk youth, concerning Fetal Alcohol Syndrome 
        and Fetal Alcohol Effect;
            ``(C) public and community awareness programs concerning 
        Fetal Alcohol Syndrome and Fetal Alcohol Effect; and
            ``(D) strategies to coordinate information and services 
        across affected community agencies, including agencies 
        providing social services such as foster care, adoption, and 
        social work, medical and mental health services, and agencies 
        involved in education, vocational training and civil and 
        criminal justice;
        ``(2) a prevention and diagnosis program to support clinical 
    studies, demonstrations and other research as appropriate to--
            ``(A) develop appropriate medical diagnostic methods for 
        identifying Fetal Alcohol Syndrome and Fetal Alcohol Effect; 
        and
            ``(B) develop effective prevention services and 
        interventions for pregnant, alcohol-dependent women; and
        ``(3) an applied research program concerning intervention and 
    prevention to support and conduct service demonstration projects, 
    clinical studies and other research models providing advocacy, 
    educational and vocational training, counseling, medical and mental 
    health, and other supportive services, as well as models that 
    integrate and coordinate such services, that are aimed at the 
    unique challenges facing individuals with Fetal Alcohol Syndrome or 
    Fetal Alcohol Effect and their families.
    ``(b) Grants and Technical Assistance.--The Secretary may award 
grants, cooperative agreements and contracts and provide technical 
assistance to eligible entities described in section 399H to carry out 
subsection (a).
    ``(c) Dissemination of Criteria.--In carrying out this section, the 
Secretary shall develop a procedure for disseminating the Fetal Alcohol 
Syndrome and Fetal Alcohol Effect diagnostic criteria developed 
pursuant to section 705 of the ADAMHA Reorganization Act (42 U.S.C. 
485n note) to health care providers, educators, social workers, child 
welfare workers, and other individuals.
    ``(d) National Task Force.--
        ``(1) In general.--The Secretary shall establish a task force 
    to be known as the National Task Force on Fetal Alcohol Syndrome 
    and Fetal Alcohol Effect (referred to in this subsection as the 
    `Task Force') to foster coordination among all governmental 
    agencies, academic bodies and community groups that conduct or 
    support Fetal Alcohol Syndrome and Fetal Alcohol Effect research, 
    programs, and surveillance, and otherwise meet the general needs of 
    populations actually or potentially impacted by Fetal Alcohol 
    Syndrome and Fetal Alcohol Effect.
        ``(2) Membership.--The Task Force established pursuant to 
    paragraph (1) shall--
            ``(A) be chaired by an individual to be appointed by the 
        Secretary and staffed by the Administration; and
            ``(B) include the Chairperson of the Interagency 
        Coordinating Committee on Fetal Alcohol Syndrome of the 
        Department of Health and Human Services, individuals with Fetal 
        Alcohol Syndrome and Fetal Alcohol Effect, and representatives 
        from advocacy and research organizations such as the Research 
        Society on Alcoholism, the FAS Family Resource Institute, the 
        National Organization of Fetal Alcohol Syndrome, the Arc, the 
        academic community, and Federal, State and local government 
        agencies and offices.
        ``(3) Functions.--The Task Force shall--
            ``(A) advise Federal, State and local programs and research 
        concerning Fetal Alcohol Syndrome and Fetal Alcohol Effect, 
        including programs and research concerning education and public 
        awareness for relevant service providers, school-age children, 
        women at-risk, and the general public, medical diagnosis, 
        interventions for women at-risk of giving birth to children 
        with Fetal Alcohol Syndrome and Fetal Alcohol Effect, and 
        beneficial services for individuals with Fetal Alcohol Syndrome 
        and Fetal Alcohol Effect and their families;
            ``(B) coordinate its efforts with the Interagency 
        Coordinating Committee on Fetal Alcohol Syndrome of the 
        Department of Health and Human Services; and
            ``(C) report on a biennial basis to the Secretary and 
        relevant committees of Congress on the current and planned 
        activities of the participating agencies.
        ``(4) Time for appointment.--The members of the Task Force 
    shall be appointed by the Secretary not later than 6 months after 
    the date of enactment of this part.

``SEC. 399H. ELIGIBILITY.

    ``To be eligible to receive a grant, or enter into a cooperative 
agreement or contract under this part, an entity shall--
        ``(1) be a State, Indian tribal government, local government, 
    scientific or academic institution, or nonprofit organization; and
        ``(2) prepare and submit to the Secretary an application at 
    such time, in such manner, and containing such information as the 
    Secretary may prescribe, including a description of the activities 
    that the entity intends to carry out using amounts received under 
    this part.

``SEC. 399I. AUTHORIZATION OF APPROPRIATIONS.

    ``(a) In General.--There are authorized to be appropriated to carry 
out this part, $27,000,000 for each of the fiscal years 1999 through 
2003.
    ``(b) Task Force.--From amounts appropriated for a fiscal year 
under subsection (a), the Secretary may use not to exceed $2,000,000 of 
such amounts for the operations of the National Task Force under 
section 399G(d).

``SEC. 399J. SUNSET PROVISION.

    ``This part shall not apply on the date that is 7 years after the 
date on which all members of the National Task Force have been 
appointed under section 399G(d)(1).''.

                               Speaker of the House of Representatives.

                            Vice President of the United States and    
                                               President of the Senate.
```