II 

117TH CONGRESS 

1ST SESSION S. 3422 

To establish a grant program to support schools of medicine and schools 

of osteopathic medicine in underserved areas. 

IN THE SENATE OF THE UNITED STATES 

DECEMBER 16, 2021 

Mr. KAINE (for himself, Mrs. FEINSTEIN, and Mr. PADILLA) introduced the 

following bill; which was read twice and referred to the Committee on 

Health, Education, Labor, and Pensions 

A BILL 

To establish a grant program to support schools of medicine 

and schools of osteopathic medicine in underserved areas. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘Expanding Medical 

5 Education Act’’. 


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1 SEC. 2. GRANTS FOR SCHOOLS OF MEDICINE AND SCHOOLS 

2 OF OSTEOPATHIC MEDICINE IN UNDER3 SERVED AREAS. 

4 Subpart II of part C of title VII of the Public Health 

5 Service Act (42 U.S.C. 293m et seq.) is amended by add6 ing at the end the following: 

7 ‘‘SEC. 749C. GRANTS FOR SCHOOLS OF MEDICINE AND 

8 SCHOOLS OF OSTEOPATHIC MEDICINE IN UN9 DERSERVED AREAS. 

10 ‘‘(a) IN GENERAL.—The Secretary, acting through 

11 the Administrator of the Health Resources and Services 

12 Administration, may award grants to institutions of high13 er education (including consortiums of such institutions) 

14 for the establishment, improvement, or expansion of a 

15 school of medicine or osteopathic medicine, or a branch 

16 campus of a school of medicine or osteopathic medicine. 

17 ‘‘(b) PRIORITY.—In selecting grant recipients under 

18 this section, the Secretary shall give priority to any insti19 tution of higher education (or consortium of such institu20 tions) that— 

21 ‘‘(1) proposes to use the grant for the establish22 ment of a school of medicine or osteopathic medi23 cine, or a branch campus of a school of medicine or 

24 osteopathic medicine, in an area— 

25 ‘‘(A) in which no other such school is 

26 based; and 


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1 ‘‘(B) that is a medically underserved com2 munity or a health professional shortage area; 

3 or 

4 ‘‘(2) is a minority-serving institution described 

5 in section 371(a) of the Higher Education Act of 

6 1965. 

7 ‘‘(c) CONSIDERATIONS.—In awarding grants under 

8 this section, the Secretary, to the extent practicable, may 

9 ensure equitable distribution of awards among the geo10 graphical regions of the United States. 

11 ‘‘(d) USE OF FUNDS.—An institution of higher edu12 cation (or a consortium of such institutions)— 

13 ‘‘(1) shall use grant amounts received under 

14 this section to— 

15 ‘‘(A) recruit, enroll, and retain students, 

16 including individuals who are from disadvan17 taged backgrounds (including racial and ethnic 

18 groups underrepresented among medical stu19 dents and health professions), individuals from 

20 rural and underserved areas, low-income indi21 viduals, and first generation college students, at 

22 a school of medicine or osteopathic medicine or 

23 branch campus of a school of medicine or osteo24 pathic medicine; and 


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1 ‘‘(B) develop, implement, and expand cur2 riculum that emphasizes care for rural and un3 derserved populations, including accessible and 

4 culturally and linguistically appropriate care 

5 and services, at such school or branch campus; 

6 and 

7 ‘‘(2) may use grant amounts received under this 

8 section to— 

9 ‘‘(A) plan and construct— 

10 ‘‘(i) a school of medicine or osteo11 pathic medicine in an area in which no 

12 other such school is based; or 

13 ‘‘(ii) a branch campus of a school of 

14 medicine or osteopathic medicine in an 

15 area in which no other such school is 

16 based; 

17 ‘‘(B) plan, develop, and meet criteria for 

18 accreditation for a school of medicine or osteo19 pathic medicine or branch campus of a school 

20 of medicine or osteopathic medicine; 

21 ‘‘(C) hire faculty, including faculty from 

22 racial and ethnic groups who are underrep23 resented among the medical and other health 

24 professions, and other staff to serve at such a 

25 school or branch campus; 


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1 ‘‘(D) support educational programs at such 

2 a school or branch campus; 

3 ‘‘(E) modernize and expand infrastructure 

4 at such a school or branch campus; and 

5 ‘‘(F) support other activities that the Sec6 retary determines further the establishment, 

7 improvement, or expansion of a school of medi8 cine or osteopathic medicine or branch campus 

9 of a school of medicine or osteopathic medicine. 

10 ‘‘(e) APPLICATION.—To be eligible to receive a grant 

11 under subsection (a), an institution of higher education 

12 (or a consortium of such institutions), shall submit an ap13 plication to the Secretary at such time, in such manner, 

14 and containing such information as the Secretary may re15 quire, including a description of the institution’s or con16 sortium’s planned activities described in subsection (d). 

17 ‘‘(f) REPORTING.— 

18 ‘‘(1) REPORTS FROM ENTITIES.—Each institu19 tion of higher education, or consortium of such insti20 tutions, awarded a grant under this section shall 

21 submit an annual report to the Secretary on the ac22 tivities conducted under such grant, and other infor23 mation as the Secretary may require. 

24 ‘‘(2) REPORT TO CONGRESS.—Not later than 5 

25 years after the date of enactment of this section and 


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1 every 5 years thereafter, the Secretary shall submit 

2 to the Committee on Health, Education, Labor, and 

3 Pensions of the Senate and the Committee on En4 ergy and Commerce of the House of Representatives 

5 a report that provides a summary of the activities 

6 and outcomes associated with grants made under 

7 this section. Such reports shall include— 

8 ‘‘(A) a list of awardees, including their pri9 mary geographic location, and location of any 

10 school of medicine or osteopathic medicine, or a 

11 branch campus of school of medicine or osteo12 pathic medicine that was established, improved, 

13 or expanded under this program; 

14 ‘‘(B) the total number of students (includ15 ing the number of students from racial and eth16 nic groups underrepresented among medical 

17 students and health professions, low-income 

18 students, and first generation college students) 

19 who— 

20 ‘‘(i) are enrolled at or who have grad21 uated from any school of medicine or os22 teopathic medicine, or a branch campus of 

23 school of medicine or osteopathic medicine, 

24 that was established, improved, or ex25 panded under this program, deidentified 


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1 and disaggregated by race, ethnicity, age, 

2 sex, geographic region, disability status, 

3 and other relevant factors, to the extent 

4 such information is available; and 

5 ‘‘(ii) who subsequently participate in 

6 an accredited internship or medical resi7 dency program upon graduation from any 

8 school of medicine or osteopathic medicine, 

9 or a branch campus of a school of medicine 

10 or osteopathic medicine, that was estab11 lished, improved, or expanded under this 

12 program, deidentified and disaggregated by 

13 race, ethnicity, age, sex, geographic region, 

14 disability status, medical specialty pursued, 

15 and other relevant factors, to the extent 

16 such information is available; 

17 ‘‘(C) the effects of such program on the 

18 health care provider workforce, including any 

19 impact on demographic representation 

20 disaggregated by race, ethnicity, and sex, and 

21 the fields or specialties pursued by students 

22 who have graduated from any school of medi23 cine or osteopathic medicine, or a branch cam24 pus of school of medicine or osteopathic mediVerDate Sep 11 2014 16:32 Dec 21, 2021 Jkt 029200 PO 00000 Frm 00007 Fmt 6652 Sfmt 6201 E:\BILLS\S3422.IS S3422

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1 cine, that was established, improved, or ex2 panded under this program; 

3 ‘‘(D) the effects of such program on health 

4 care access in underserved areas, including 

5 medically underserved communities and health 

6 professional shortage areas; and 

7 ‘‘(E) recommendations for improving the 

8 program described in this section, and any 

9 other considerations as the Secretary deter10 mines appropriate. 

11 ‘‘(3) PUBLIC AVAILABILITY.—The Secretary 

12 shall make reports submitted under paragraph (2) 

13 publicly available on the internet website of the De14 partment of Health and Human Services. 

15 ‘‘(g) DEFINITIONS.—In this section: 

16 ‘‘(1) BRANCH CAMPUS.— 

17 ‘‘(A) IN GENERAL.—The term ‘branch 

18 campus’, with respect to a school of medicine or 

19 osteopathic medicine, means an additional loca20 tion of such school that is geographically apart 

21 and independent of the main campus, at which 

22 the school offers at least 50 percent of the pro23 gram leading to a degree of doctor of medicine 

24 or doctor of osteopathy that is offered at the 

25 main campus. 


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1 ‘‘(B) INDEPENDENCE FROM MAIN CAM2 PUS.—For purposes of subparagraph (A), the 

3 location of a school described in such subpara4 graph shall be considered to be independent of 

5 the main campus described in such subpara6 graph if the location— 

7 ‘‘(i) is permanent in nature; 

8 ‘‘(ii) offers courses in educational pro9 grams leading to a degree, certificate, or 

10 other recognized educational credential; 

11 ‘‘(iii) has its own faculty and adminis12 trative or supervisory organization; and 

13 ‘‘(iv) has its own budgetary and hiring 

14 authority. 

15 ‘‘(2) FIRST GENERATION COLLEGE STUDENT.— 

16 The term ‘first generation college student’ has the 

17 meaning given such term in section 402A(h)(3) of 

18 the Higher Education Act of 1965. 

19 ‘‘(3) HEALTH PROFESSIONAL SHORTAGE

20 AREA.—The term ‘health professional shortage area’ 

21 has the meaning given such term in section 332(a). 

22 ‘‘(4) INSTITUTION OF HIGHER EDUCATION.— 

23 The term ‘institution of higher education’ has the 

24 meaning given such term in section 101 of the High25 er Education Act of 1965. 


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1 ‘‘(5) MEDICALLY UNDERSERVED COMMUNITY.— 

2 The term ‘medically underserved community’ has the 

3 meaning given such term in section 799B(6). 

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

5 is authorized to be appropriated such sums as may be nec6 essary to carry out this section.’’. 

Æ 


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