I 
118TH CONGRESS 
2D SESSION H. R. 10337 
To amend the Public Health Service Act to establish a demonstration project 
to make grants to eligible hospitals for the purpose of promoting work- 
based learning in health care, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
DECEMBER 10, 2024 
Ms. BROWN (for herself, Mrs. LEE CARTER, Ms. KELLY of Illinois, Ms. 
MCCLELLAN, Mrs. DINGELL, Ms. BARRAGA´N, Mrs. HAYES, Mr. LIEU, 
Mr. KRISHNAMOORTHI, Ms. CLARKE of New York, Mr. CARBAJAL, Mr. 
CARTER of Louisiana, Mr. MEEKS, Mrs. CHERFILUS-MCCORMICK, Ms. 
WILLIAMS of Georgia, Ms. SALINAS, Mrs. WATSON COLEMAN, Mrs. 
MCIVER, Mr. LANDSMAN, and Ms. MENG) introduced the following bill; 
which was referred to the Committee on Energy and Commerce 
A BILL 
To amend the Public Health Service Act to establish a dem-
onstration project to make grants to eligible hospitals 
for the purpose of promoting work-based learning in 
health care, and for other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Expanding the Health 
Care Workforce Act’’. 
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SEC. 2. DEMONSTRATION PROJECT GRANTS TO PREPARE 
THE NEXT GENERATION OF THE HEALTH 
CARE WORKFORCE. 
The Public Health Service Act is amended by insert-
ing after section 778 (42 U.S.C. 295f–3) the following: 
‘‘SEC. 779. DEMONSTRATION PROJECT GRANTS TO PRE-
PARE 
THE 
NEXT 
GENERATION 
OF 
THE 
HEALTH CARE WORKFORCE. 
‘‘(a) ESTABLISHMENT.—The Secretary shall estab-
lish a demonstration project (in this section referred to 
as the ‘Demonstration Project’) to make grants to eligible 
entities to— 
‘‘(1) create, develop, expand, or scale a cur-
riculum in a secondary school that implements a 
work-based learning program; 
‘‘(2) develop or expand an educational cur-
riculum that promotes the matriculation of students 
enrolled in secondary school to— 
‘‘(A) employment in the health care work-
force; or 
‘‘(B) an educational program in a health 
care–related field; 
‘‘(3) promote an educational curriculum that 
encourages student attendance and community en-
gagement; and 
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‘‘(4) ensure the health and well-being of the 
community of the eligible entity by strengthening the 
health care workforce. 
‘‘(b) USE OF FUNDS.—An eligible entity shall use a 
grant under this section to develop or expand a program 
that— 
‘‘(1) provides students with work-based learning 
opportunities in an eligible hospital— 
‘‘(A) during a student’s first year enrolled 
in the program, for at least 20 hours; 
‘‘(B) during a student’s second year en-
rolled in the program, for at least 20 hours; 
‘‘(C) during a student’s third year enrolled 
in the program, for at least 30 hours; 
‘‘(D) during a student’s fourth year en-
rolled in the program, for at least 100 hours; 
and 
‘‘(E) during a student’s fifth year (or any 
subsequent year) enrolled in the program, an 
appropriate amount of work-based learning as 
determined by the eligible entity; 
‘‘(2) has a written partnership agreement with 
a secondary school to provide work-based learning; 
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‘‘(3) provides a comprehensive high school edu-
cation that leads to the conferral of a high school di-
ploma, as defined by State law; 
‘‘(4) provides college planning services and ca-
reer planning services; and 
‘‘(5) provides education on appropriate health 
care topics that would facilitate entry to the health 
care workforce or an educational program in a 
health care–related field, including age-appropriate 
clinical interactions and coursework in preparation 
to take a licensing or certification examination re-
quired to enter the health care workforce. 
‘‘(c) GRANT SPECIFICATIONS.— 
‘‘(1) PERIOD.—A grant under this section shall 
be for a period of not less than 4 and not more than 
6 years. 
‘‘(2) DISBURSEMENT
SCHEDULE.—A grant 
under this section shall be disbursed during such pe-
riod on the schedule and in the increments described 
in the budget and budget narrative submitted by the 
eligible entity receiving the grant under subsection 
(e)(2). 
‘‘(3) NUMBER; GEOGRAPHIC DIVERSITY.— 
‘‘(A) IN
GENERAL.—The Secretary shall 
award grants under this section to at least 20 
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eligible entities, divided equally among the 10 
regions of the United States described in sub-
paragraph (B). 
‘‘(B) REGIONS DESCRIBED.—The regions 
described in this subparagraph are the fol-
lowing: 
‘‘(i) Region 1: Connecticut, Maine, 
Massachusetts, New Hampshire, Rhode Is-
land, and Vermont. 
‘‘(ii) Region 2: New Jersey, New 
York, Puerto Rico, and the Virgin Islands. 
‘‘(iii) Region 3: Delaware, the District 
of Columbia, Maryland, Pennsylvania, Vir-
ginia, and West Virginia. 
‘‘(iv) Region 4: Alabama, Florida, 
Georgia, 
Kentucky, 
Mississippi, 
North 
Carolina, South Carolina, and Tennessee. 
‘‘(v) Region 5: Illinois, Indiana, Michi-
gan, Minnesota, Ohio, and Wisconsin. 
‘‘(vi) Region 6: Arkansas, Louisiana, 
New Mexico, Oklahoma, and Texas. 
‘‘(vii) Region 7: Iowa, Kansas, Mis-
souri, and Nebraska. 
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‘‘(viii) Region 8: Colorado, Montana, 
North Dakota, South Dakota, Utah, and 
Wyoming. 
‘‘(ix) Region 9: Arizona, California, 
Hawaii, Nevada, American Samoa, Com-
monwealth of the Northern Mariana Is-
lands, Federated States of Micronesia, 
Guam, Marshall Islands, and Republic of 
Palau. 
‘‘(x) Region 10: Alaska, Idaho, Or-
egon, and Washington. 
‘‘(4) QUOTA FOR EXPANDING EXISTING PRO-
GRAMS.—Of the grants made by the Secretary under 
this section, at least 25 percent of the total number 
of such grants shall be to expand programs estab-
lished before the date of enactment of this section. 
‘‘(d) PRIORITY.—In making grants under this sec-
tion, the Secretary shall give priority to any eligible entity 
that— 
‘‘(1) serves a medically underserved population; 
‘‘(2) is located in a medically underserved com-
munity; or 
‘‘(3) is a multi-mission hospital, a vulnerable 
community hospital, or an endangered small rural 
hospital, as determined by the Secretary. 
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‘‘(e) APPLICATIONS.—To be eligible to receive a grant 
under this section, an eligible entity shall submit to the 
Secretary an application at such time and in such manner 
as the Secretary may reasonably require. The application 
shall include— 
‘‘(1) a description of the curriculum to be used 
in the program to be funded by the grant; 
‘‘(2) a budget and budget narrative for such 
program; 
‘‘(3) an explanation of how the curriculum of 
such program will promote the matriculation of sec-
ondary students in employment in the health care 
workforce or an educational program in a health 
care–related field; 
‘‘(4) an explanation of how such program to be 
funded by the grant will promote student attend-
ance, community engagement, and successful com-
pletion of the requirements of such program; 
‘‘(5) a letter of support from the lead State 
health or human services agency for the State in 
which the eligible entity is located that certifies that 
there exists a need for a such a program in the com-
munity of the eligible entity; and 
‘‘(6) an explanation of how such program in-
tends to improve the educational outcomes of the 
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students of the eligible entity compared to other stu-
dents in the county of the eligible entity. 
‘‘(f) REPORTS.— 
‘‘(1) TO SECRETARY.—Not less than annually, 
an eligible entity receiving a grant under this section 
shall submit to the Secretary, in such form and 
manner as the Secretary may reasonably require, a 
report that includes the following information with 
respect to the preceding school year: 
‘‘(A) The number of students enrolled in 
the program funded by the grant. 
‘‘(B) The number of students who grad-
uated from such program. 
‘‘(C) The number of students who are tru-
ant, as defined by the secondary school’s ac-
crediting body or the State. 
‘‘(D) The four-year adjusted cohort grad-
uation rate and extended-year adjusted cohort 
graduation rate of such program. 
‘‘(E) The average daily attendance of such 
program. 
‘‘(F) The number and percentage of stu-
dents entering post-secondary education, sepa-
rated by those who enter into an educational 
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program in a health care–related field and 
those who do not. 
‘‘(G) The number and percentage of stu-
dents entering the workforce, separated by 
those who enter the health care workforce and 
those who do not. 
‘‘(H) Any other information the Secretary 
determines necessary to ensure the adequate 
evaluation of the Demonstration Project. 
‘‘(2) TO CONGRESS.—Not later than 5 years 
after the date on which a grant is first made to an 
eligible entity under this section, the Secretary, in 
consultation with the Secretary of Education, shall 
submit to Congress a report on the results of the 
Demonstration Project. Such report shall include— 
‘‘(A) a list of eligible entities that have re-
ceived a grant under this section, including the 
primary geographic location of each such eligi-
ble entity; 
‘‘(B) the total number and demographic 
profile of students who are enrolled in a pro-
gram funded by a grant under this section; 
‘‘(C) the total number of students who 
participated in such a program and who matric-
ulated into an educational program in a health 
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care–related field or gained employment in the 
health care workforce; 
‘‘(D) the four-year adjusted cohort gradua-
tion rate and extended-year adjusted cohort 
graduation rate of each such program, com-
pared to other secondary schools in each county 
of such programs; 
‘‘(E) the effects of the Demonstration 
Project on the health care workforce; 
‘‘(F) recommendations for improving the 
Demonstration Project; and 
‘‘(G) other information or metrics that the 
Secretary determines necessary for Congress to 
evaluate the success of the Demonstration 
Project. 
‘‘(g) DEFINITIONS.—In this section: 
‘‘(1) EDUCATIONAL
PROGRAM
IN
A
HEALTH 
CARE–RELATED FIELD.—The term ‘educational pro-
gram in a health care–related field’ means any ac-
credited or certified educational program that per-
mits an individual to gain employment in the health 
care workforce. 
‘‘(2) ELIGIBLE ENTITY.—The term ‘eligible en-
tity’ means an eligible hospital that has a formal 
written partnership with a secondary school. 
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