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‘‘SEC. 753. EDUCATION AND TRAINING RELATING TO GERI-
ATRICS. 
‘‘(a) GERIATRICS WORKFORCE ENHANCEMENT PRO-
GRAMS.— 
‘‘(1) IN GENERAL.—The Secretary shall award 
grants or contracts under this subsection to entities 
described in paragraph (1), (3), or (4) of section 
799B, section 801(2), or section 865(d), or other 
health professions schools or programs approved by 
the Secretary, for the establishment or operation of 
geriatrics workforce enhancement programs that 
meet the requirements of paragraph (2). 
‘‘(2) REQUIREMENTS.—A geriatrics workforce 
enhancement program meets the requirements of 
this paragraph if such program supports the devel-
opment of a health care workforce that maximizes 
patient and family engagement and improves health 
outcomes for older adults by integrating geriatrics 
with primary care and other appropriate specialties. 
Special emphasis should be placed on providing the 
primary care workforce with the knowledge and 
skills to care for older adults and collaborating with 
community partners to address gaps in health care 
for older adults through individual, system, commu-
nity, and population level changes. Areas of pro-
grammatic focus may include the following: 
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‘‘(A) Transforming clinical training envi-
ronments to integrated geriatrics and primary 
care delivery systems to ensure trainees are well 
prepared to practice in and lead in such sys-
tems. 
‘‘(B) Developing providers who can assess 
and address the needs and preferences of older 
adults and their families and caregivers at the 
individual, community, and population levels. 
‘‘(C) Creating and delivering community- 
based programs that will provide older adults 
and their families and caregivers with the 
knowledge and skills to improve health out-
comes and the quality of care for such adults. 
‘‘(D) Providing Alzheimer’s disease and re-
lated dementias (ADRD) education to the fami-
lies and caregivers of older adults, direct care 
workers, health professions students, faculty, 
and providers. 
‘‘(3) DURATION.—The Secretary shall award 
grants and contracts under paragraph (1) for a pe-
riod not to exceed 5 years. 
‘‘(4) APPLICATION.—To be eligible to receive a 
grant or contract under paragraph (1), an entity de-
scribed in such paragraph shall submit to the Sec-
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retary an application at such time, in such manner, 
and containing such information as the Secretary 
may require. 
‘‘(5) 
EQUITABLE
GEOGRAPHIC
DISTRIBU-
TION.—The Secretary may award grants and con-
tracts under paragraph (1) in a manner which will 
equitably distribute such grants and contracts 
among the various regions of the United States. 
‘‘(6) PRIORITY.—In awarding grants and con-
tracts under paragraph (1), the Secretary may give 
priority to programs that— 
‘‘(A) have the goal of improving and pro-
viding comprehensive coordinated care of older 
adults, including medical, dental, and psycho-
social needs; 
‘‘(B) support the training and retraining of 
faculty, preceptors, primary care providers, and 
providers in other specialties to increase their 
knowledge of geriatrics and gerontology; 
‘‘(C) provide clinical experiences across 
care settings, including ambulatory care, hos-
pitals, post-acute care, nursing homes, federally 
qualified health centers, and home and commu-
nity-based services; 
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‘‘(D) emphasize education and engagement 
of family caregivers on disease self-manage-
ment, medication management, and stress re-
duction strategies; 
‘‘(E) provide training to the health care 
workforce on disease self-management, motiva-
tional interviewing, medication management, 
and stress reduction strategies; 
‘‘(F) provide training to the health care 
workforce on social determinants of health in 
order to better address the geriatric health care 
needs of diverse populations; 
‘‘(G) integrate geriatrics competencies and 
interprofessional 
collaborative 
practice 
into 
health care education and training curricula for 
residents, fellows, and students; 
‘‘(H) substantially benefit rural or under-
served populations of older adults; 
‘‘(I) integrate behavioral health com-
petencies into primary care practice, especially 
with respect to elder abuse, pain management, 
and advance care planning; or 
‘‘(J) offer short-term intensive courses 
that— 
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‘‘(i) focus on geriatrics, gerontology, 
chronic care management, and long-term 
care that provide supplemental training for 
faculty members in medical schools and 
other health professions schools or grad-
uate programs in psychology, pharmacy, 
nursing, social work, dentistry, public 
health, allied health, or other health dis-
ciplines, as approved by the Secretary; and 
‘‘(ii) are open to current faculty, and 
appropriately credentialed volunteer faculty 
and practitioners, to upgrade their knowl-
edge and clinical skills for the care of older 
adults and adults with functional and cog-
nitive limitations and to enhance their 
interdisciplinary teaching skills. 
‘‘(b) GERIATRIC ACADEMIC CAREER AWARDS.— 
‘‘(1) ESTABLISHMENT OF PROGRAM.—The Sec-
retary shall establish a program to provide Geriatric 
Academic Career Awards to eligible entities applying 
on behalf of eligible individuals to promote the ca-
reer development of such individuals as academic 
geriatricians or other academic geriatrics health pro-
fessionals. 
‘‘(2) ELIGIBILITY.— 
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‘‘(A) ELIGIBLE ENTITY.—For purposes of 
this subsection, the term ‘eligible entity’ 
means— 
‘‘(i) an entity described in paragraph 
(1), (3), or (4) of section 799B or section 
801(2); or 
‘‘(ii) an accredited health professions 
school or graduate program approved by 
the Secretary. 
‘‘(B) ELIGIBLE
INDIVIDUAL.—For pur-
poses of this subsection, the term ‘eligible indi-
vidual’ means an individual who— 
‘‘(i) is board certified in internal med-
icine, family practice, psychiatry, or li-
censed dentistry, or has completed any re-
quired training in a discipline and is em-
ployed in an accredited health professions 
school or graduate program that is ap-
proved by the Secretary; 
‘‘(ii) has completed an approved fel-
lowship program in geriatrics or geron-
tology, or has completed specialty training 
in geriatrics or gerontology as required by 
the discipline and any additional geriatrics 
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or gerontology training as required by the 
Secretary; and 
‘‘(iii) has a junior (non-tenured) fac-
ulty appointment at an accredited school of 
allopathic medicine, osteopathic medicine, 
nursing, social work, psychology, dentistry, 
pharmacy, or other allied health disciplines 
in an accredited health professions school 
or graduate program that is approved by 
the Secretary. 
‘‘(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 (7); and 
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‘‘(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 
from such school or program to spend 75 per-
cent of the total time of such individual on 
teaching and developing skills in interprofes-
sional 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; 
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‘‘(D) shall pay particular attention to geri-
atrics health care workforce needs among un-
derserved populations and rural areas; and 
‘‘(E) may not require an eligible individual, 
or an eligible entity applying on behalf of an eli-
gible individual, to be a recipient of a grant or 
contract under this part. 
‘‘(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 2017, 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. 
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‘‘(B) TERM.—The term of any award 
made under this subsection shall not exceed 5 
years. 
‘‘(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 $40,737,000 for each of fiscal years 2019 through 
2023. 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.’’. 
Passed the House of Representatives July 23, 2018. 
Attest: 
KAREN L. HAAS, 
Clerk. 
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