HR 2781 RFS
school of allopathic medicine, osteo-
pathic medicine, nursing, social work, 
psychology, dentistry, pharmacy, or 
allied health or at another type of ac-
credited health professions school or 
graduate program described in sub-
paragraph (A)(ii); 
‘‘(II)(aa) is board certified or 
board eligible in internal medicine, 
family practice, psychiatry, or licensed 
dentistry, or has completed the train-
ing required for the individual’s dis-
cipline; and 
‘‘(bb) is employed at an eligible 
entity; or 
‘‘(III) has completed an approved 
fellowship program in geriatrics or 
gerontology, or has completed spe-
cialty training in geriatrics or geron-
tology as required for the individual’s 
discipline and any additional geri-
atrics or gerontology training as re-
quired by the Secretary. 
‘‘(ii) SPECIAL
RULE.—If during the 
period of an award under this subsection 
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respecting an eligible individual, the indi-
vidual is promoted to associate professor 
and thereby no longer meets the criteria of 
clause (i)(I), the individual may continue 
to be treated as an eligible individual 
through the term of the award. 
‘‘(3) LIMITATIONS.—An eligible entity may not 
receive an award under paragraph (1) on behalf of 
an eligible individual unless the eligible entity— 
‘‘(A) submits to the Secretary an applica-
tion, at such time, in such manner, and con-
taining such information as the Secretary may 
require, and the Secretary approves such appli-
cation; 
‘‘(B) provides, in such form and manner as 
the Secretary may require, assurances that the 
eligible individual on whose behalf an applica-
tion was submitted under subparagraph (A) will 
meet the service requirement described in para-
graph (8); and 
‘‘(C) provides, in such form and manner as 
the Secretary may require, assurances that such 
individual has a full-time faculty appointment 
in an accredited health professions school or 
graduate program and documented commitment 
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from such school or program to spend 75 per-
cent of the individual’s time that is supported 
by the award on teaching and developing skills 
in interprofessional education in geriatrics. 
‘‘(4) REQUIREMENTS.—In awarding grants 
under this subsection, the Secretary— 
‘‘(A) shall give priority to eligible entities 
that apply on behalf of eligible individuals who 
are on the faculty of institutions that integrate 
geriatrics education, training, and best prac-
tices into academic program criteria; 
‘‘(B) may give priority to eligible entities 
that operate a geriatrics workforce enhance-
ment program under subsection (a); 
‘‘(C) shall ensure that grants are equitably 
distributed across the various geographical re-
gions of the United States, including rural and 
underserved areas; 
‘‘(D) shall pay particular attention to geri-
atrics health care workforce needs among un-
derserved populations, diverse communities, and 
rural areas; 
‘‘(E) may not require an eligible individual, 
or an eligible entity applying on behalf of an eli-
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gible individual, to be a recipient of a grant or 
contract under this part; and 
‘‘(F) shall pay the full amount of the 
award to the eligible entity. 
‘‘(5) MAINTENANCE OF EFFORT.—An eligible 
entity receiving an award under paragraph (1) on 
behalf of an eligible individual shall provide assur-
ances to the Secretary that funds provided to such 
individual under this subsection will be used only to 
supplement, not to supplant, the amount of Federal, 
State, and local funds otherwise expended by such 
individual. 
‘‘(6) AMOUNT AND TERM.— 
‘‘(A) AMOUNT.—The amount of an award 
under this subsection for eligible individuals 
who are physicians shall equal $100,000 for fis-
cal year 2020, adjusted for subsequent fiscal 
years to reflect the increase in the Consumer 
Price Index. The Secretary shall determine the 
amount of an award under this subsection for 
individuals who are not physicians. 
‘‘(B) TERM.—The term of any award 
made under this subsection shall not exceed 5 
years. 
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‘‘(7) SERVICE REQUIREMENT.—An eligible indi-
vidual on whose behalf an application was submitted 
and approved under paragraph (3)(A) shall provide 
training in clinical geriatrics or gerontology, includ-
ing the training of interprofessional teams of health 
care professionals. 
‘‘(c) AUTHORIZATION
OF
APPROPRIATIONS.—To 
carry out this section, there is authorized to be appro-
priated $51,000,000 for each of fiscal years 2020 through 
2024. Notwithstanding the preceding sentence, no funds 
shall be made available to carry out subsection (b) for a 
fiscal year unless the amount made available to carry out 
this section for such fiscal year is more than the amount 
made available to carry out this section for fiscal year 
2017.’’. 
SEC. 4. INVESTMENT IN TOMORROW’S PEDIATRIC HEALTH 
CARE WORKFORCE. 
Section 775 of the Public Health Service Act (42 
U.S.C. 295f) is amended to read as follows: 
‘‘SEC. 
775. 
INVESTMENT 
IN 
TOMORROW’S 
PEDIATRIC 
HEALTH CARE WORKFORCE. 
‘‘(a) IN GENERAL.—The Secretary shall establish 
and carry out a program of entering into pediatric spe-
cialty loan repayment agreements with qualified health 
professionals under which— 
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‘‘(1) the qualified health professional agrees to 
a period of not less than 2 years of obligated service 
during which the professional will— 
‘‘(A) participate in an accredited pediatric 
medical subspecialty, pediatric surgical spe-
cialty, child and adolescent psychiatry sub-
specialty, or child and adolescent mental and 
behavioral health residency or fellowship; or 
‘‘(B) be employed full-time in providing pe-
diatric medical subspecialty care, pediatric sur-
gical specialty care, child and adolescent psychi-
atry subspecialty care, or child and adolescent 
mental and behavioral health care, including 
substance use disorder prevention and treat-
ment services, in an area with— 
‘‘(i) a shortage of health care profes-
sionals practicing in the pediatric medical 
subspecialty, the pediatric surgical spe-
cialty, the child and adolescent psychiatry 
subspecialty, or child and adolescent men-
tal and behavioral health, as applicable; 
and 
‘‘(ii) a sufficient pediatric population, 
as determined by the Secretary, to support 
the addition of a practitioner in the pedi-
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