I

104TH CONGRESS

1ST SESSION H. R. 449

To amend the Public Health Service Act with respect to increasing the

number of health professionals who practice in the United States in

a field of primary health care.

IN THE HOUSE OF REPRESENTATIVES

JANUARY 9, 1995

Mr. TRAFICANT introduced the following bill; which was referred to the

Committee on Commerce

A BILL

To amend the Public Health Service Act with respect to

increasing the number of health professionals who practice in the United States in a field of primary health

care.

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 ‘‘Primary Health Care

5 Education Act of 1995’’.
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1 SEC. 2. ESTABLISHMENT IN CERTAIN HEALTH PROFES2 SIONS EDUCATION PROGRAMS OF PREF3 ERENCE PROVISIONS REGARDING PRIMARY

4 HEALTH CARE.

5 Section 791 of the Public Health Service Act (42

6 U.S.C. 295j) is amended—

7 (1) by redesignating subsections (b) and (c) as

8 subsections (c) and (d), respectively; and

9 (2) by inserting after subsection (a) the follow10 ing subsection:

11 ‘‘(b) PREFERENCES REGARDING PRIMARY HEALTH

12 CARE.—

13 ‘‘(1) SCHOOLS OF MEDICINE.—

14 ‘‘(A) In making awards of grants and con15 tracts under this title to schools of medicine or

16 osteopathic medicine, the Secretary shall give

17 preference to any such school that, in accord18 ance with such criteria as the Secretary may es19 tablish, carries out a program—

20 ‘‘(i) to emphasize training in primary

21 health care; and

22 ‘‘(ii) to encourage the students of the

23 school to enter a field of primary health

24 care as a career choice.

25 ‘‘(B) In determining whether a school of

26 medicine or osteopathic medicine meets the con-
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1 ditions for receiving preference under subpara2 graph (A), the Secretary shall include among

3 the factors considered the following:

4 ‘‘(i) Whether the school has a depart5 ment, division, or other academic unit

6 whose principal purpose is to provide clini7 cal instruction in family medicine.

8 ‘‘(ii) If the school has such a unit,

9 whether the school provides significant

10 funding for the unit (with the amount of

11 funding expressed as the ratio of the budg12 et for the unit to the number of students

13 enrolled in the school).

14 ‘‘(iii) Whether the school requires that

15 each student of the school, as a condition

16 of receiving a degree from the school, have

17 significant clinical training in family medi18 cine, general internal medicine, and gen19 eral pediatrics by the end of the third year

20 of the curriculum.

21 ‘‘(iv) Whether, in undergoing clinical

22 training, students of the school receive in23 struction from the faculty of medical resi24 dency training programs in fields of pri25 mary health care.
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1 ‘‘(2) MEDICAL RESIDENCY TRAINING PRO2 GRAMS.—In making awards of grants and contracts

3 under this title to entities that operate medical resi4 dency training programs, the Secretary shall give

5 preference to any such entity that, in accordance

6 with such criteria as the Secretary may establish,

7 ensures that each resident, in undergoing clinical

8 training—

9 ‘‘(A) receives instruction from the faculty

10 of medical residency training programs in fields

11 of primary health care; or

12 ‘‘(B) has rotations providing training in

13 such fields.’’.

14 SEC. 3. EFFECTIVE DATE.

15 This Act takes effect October 1, 1995, or upon the

16 date of the enactment of this Act, whichever occurs later.

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