I 
117TH CONGRESS 
2D SESSION 
H. R. 9105 
To amend the Public Health Service Act to authorize the establishment 
of the National Medical Corps Program to create pathway programs 
for community college students to pursue premedical training and enter 
medical school, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
SEPTEMBER 30, 2022 
Ms. LEE of California (for herself, Ms. CHU, and Mr. BERA) introduced the 
following bill; which was referred to the Committee on Energy and Commerce 
A BILL 
To amend the Public Health Service Act to authorize the 
establishment of the National Medical Corps Program 
to create pathway programs for community college stu-
dents to pursue premedical training and enter medical 
school, 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 ‘‘National Medical 
Corps Act’’ or the ‘‘NMC Act’’. 
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SEC. 2. NATIONAL MEDICAL CORPS PROGRAMS. 
Part B of title VII of the Public Health Service Act 
(42 U.S.C. 293 et seq.) is amended by adding at the end 
the following: 
‘‘SEC. 741A. NATIONAL MEDICAL CORPS PROGRAMS. 
‘‘(a) IN GENERAL.—The Secretary, in consultation 
with the Secretary of Education and the Secretary of 
Labor, shall make grants to, and enter into contracts with, 
eligible entities for the purpose of establishing programs 
to assist community college students to pursue premedical 
training and enter medical school (referred to in this sec-
tion as an ‘NMC Program’, by addressing— 
‘‘(1) the shortage of primary care physicians 
and psychiatrists in vulnerable and underserved 
communities; and 
‘‘(2) the widening disparities in access to care 
in such communities. 
‘‘(b) ELIGIBLE ENTITY.—An entity is eligible to re-
ceive a grant or enter into a contract under this section 
if the entity is a school of medicine, an institution of high-
er education, or a public or private nonprofit health or 
educational institution (other than a school of nursing) 
that— 
‘‘(1) forms a consortium that includes, at a 
minimum— 
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‘‘(A) 3 community colleges in the region in 
which the consortium serves; 
‘‘(B) one 4-year public or private nonprofit 
undergraduate institution in the region; 
‘‘(C) one public or private nonprofit ac-
credited medical school located in a State; 
‘‘(D) one primary care association or con-
sortium of community health centers; 
‘‘(E) at least one community health center, 
inclusive of federally qualified health centers, 
federally qualified health center look-alikes, 
rural health centers, migrant health centers, 
frontier health centers, indian health service 
clinics, and free clinics; and 
‘‘(F) other such entities as considered ap-
propriate by the Secretary; and 
‘‘(2) has established, or commits to establish, a 
community advisory board that is— 
‘‘(A) comprised of local business, edu-
cation, health industry, and other community 
leaders to oversee and guide the programmatic 
direction of the program; and 
‘‘(B) intended to guide the unique estab-
lishment of regional partnerships and opportu-
nities for students along the pathway to support 
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the accomplishment of its targets for student 
outcomes. 
‘‘(c) APPLICATION; SELECTION.— 
‘‘(1) APPLICATION.—An eligible entity seeking 
a grant under this section shall submit an applica-
tion at such time and in such manner as the Sec-
retary may require. Such application shall contain— 
‘‘(A) the name of the entity selected to op-
erate as the lead entity of the consortium; 
‘‘(B) documentation supporting the entity’s 
eligibility; and 
‘‘(C) such other information as the Sec-
retary may require. 
‘‘(2) SELECTION.—The Secretary shall select, 
on a competitive basis— 
‘‘(A) 20 eligible entities in the first full cal-
endar year beginning on or after the date of the 
enactment of this section; and 
‘‘(B) 20 eligible entities in each of the 5 
subsequent calendar years. 
‘‘(d) CONDITIONS ON AWARDS.—The recipient of a 
grant shall, as a condition on receiving such a grant 
agree— 
‘‘(1) that a student selected to participate in an 
NMC Program (referred to in this section as a ‘Na-
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tional Medical Corps Scholar’ or an ‘NMC Scholar’) 
shall be— 
‘‘(A) a community college student who has 
completed at least one semester of community 
college and is intending to transfer to a 4-year 
college pre-medical program with the intent to 
pursue a career in primary care medicine or 
psychiatry; 
‘‘(B) from an economically or educationally 
disadvantaged background; and 
‘‘(C) a citizen, national, or lawful perma-
nent resident of the United States; 
‘‘(2) to verify that each individual seeking to be 
selected as an NMC Scholar— 
‘‘(A) intends to pursue practice as a physi-
cian who practices primary care or psychiatry; 
‘‘(B) intends to serve in the National 
Health Service Corps; or 
‘‘(C) has been determined under subsection 
(f) to be from an economically or educationally 
disadvantaged background; 
‘‘(3) to provide to each NMC Scholar a student- 
identifying marker prior to entering medical school 
and to require that the NMC Scholar, as a condition 
on receipt of support, provides to the grant recipient 
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the National Provider Identifier of the NMC Scholar 
when the Scholar enters medical school; 
‘‘(4) to select and support (through the provi-
sion of scholarships and wrap around services) not 
fewer than 50 NMC Scholars each year of the grant, 
selected from three or more of the populations de-
scribed in subsection (e); 
‘‘(5) to track the academic and career pathway 
of such NMC scholars from community college 
through medical school; 
‘‘(6) to provide individualized guidance with re-
spect to pursuing an alternate career pathway to 
NMC scholars that elect not to pursue a career as 
physicians in primary care or psychiatry; and 
‘‘(7) to limit the amount of an award to an 
NMC Scholar in a fiscal year to the costs of attend-
ance for the applicable school year. 
‘‘(e) POPULATIONS DESCRIBED.—The populations 
described in this subsection are each of the following: 
‘‘(1) Individuals enrolled in 2-year community 
college programs with the intention to transfer to a 
4-year institution of higher education. 
‘‘(2) Community college transfer students who 
are currently enrolled in a 4-year institution of high-
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er education with intention to apply to medical 
school. 
‘‘(3) Individuals enrolled in medical school 
who— 
‘‘(A) were previously enrolled for a period 
of at least 1 year at a community college after 
completing secondary school but before obtain-
ing a bachelor’s degree; and 
‘‘(B) intend to pursue training in primary 
care or psychiatry to serve rural or underserved 
communities. 
‘‘(f) ECONOMICALLY OR EDUCATIONALLY DISADVAN-
TAGED BACKGROUND.—To determine if a student seeking 
to be selected as an NMC Scholar is from an economically 
or educationally disadvantaged background, the recipient 
of a grant under this section shall— 
‘‘(1) first determine if such student is from an 
economically disadvantaged background; and 
‘‘(2) if a student has been determined not to be 
from an economically disadvantaged background, the 
recipient shall evaluate whether the student is from 
a educationally disadvantaged background. 
‘‘(g) USE OF FUNDS.—An eligible entity selected to 
receive a grant under this section may use funds received 
through the grant to— 
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‘‘(1) conduct outreach toward, and recruitment 
and enrollment of, NMC Scholars; 
‘‘(2) plan, develop, and operate a program to 
support NMC Scholars’ career progression into med-
ical school, including providing advising, mentoring, 
academic supports for transfer, medical school appli-
cations, and identifying and pursuing extracurricular 
and work opportunities aligned with future health 
careers, such as part-time employment in a health, 
public health, or primary care-related position; 
‘‘(3) provide financial assistance in the form of 
scholarships or stipends for NMC Scholars from 
community college through entry to medical school; 
‘‘(4) coordinate NMC Program activities with 
other existing Federal, State, local, and institutions 
resources, including the Health Careers Opportunity 
program under section 736, area health education 
centers under section 751, programs and services for 
disabled students under subtitle A of title II of the 
Americans with Disabilities Act, and Federal TRIO 
programs under chapter 1 of subpart 2 of part A of 
title IV of the Higher Education Act of 1965 (20 
U.S.C. 1070a–11 et seq.); 
‘‘(5) implement data sharing, analysis, and the 
continuous testing of data-informed practices, to fos-
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ter a statewide collaboration of mutual account-
ability for improvement, consistent with applicable 
State and Federal law; 
‘‘(6) cover the costs associated with maintaining 
the consortium and advisory board; 
‘‘(7) support training in community-based orga-
nizations, such as community health centers; 
‘‘(8) develop a partnership agreement and sup-
port NMC Scholars with one or more campus-based 
learning communities, groups, or entities; and 
‘‘(9) implement and adopt premedical advising 
standards or standardized guidelines as set out by 
the consortium lead, in collaboration with consor-
tium membership, including community colleges, 
four-year undergraduate institutions, and partici-
pating schools of medicine. 
‘‘(h) PRIORITIES IN MAKING AWARDS.—In awarding 
grants or contracts under this section, the Secretary may 
give priority to consortia that include at least one— 
‘‘(1) minority-serving institution, including a 
historically Black college or university; 
‘‘(2) Hispanic-serving institution; 
‘‘(3) Tribal college or university; 
‘‘(4) Asian American and Pacific Islander serv-
ing institution; 
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‘‘(5) Native Hawaiian-serving institution; or 
‘‘(6) Native American-serving non-Tribal insti-
tution. 
‘‘(i) COORDINATION WITH NHSC.—Individuals se-
lected as NMC Scholars shall receive priority consider-
ation for an award under for National Health Service 
Corps Scholarship Program under section 338A and the 
National Health Service Corps Loan Repayment Program 
under section 338B. 
‘‘(j) REPORT TO SECRETARY.— Not later than 1 year 
after the date of the enactment of this section and every 
calendar year thereafter, each consortium selected to re-
ceive a grant under this section shall submit to the Sec-
retary a report on the following with respect to the pre-
ceding year: 
‘‘(1) The selection criteria and process used to 
ensure that the members of the consortium and ad-
visory board represent the intended communities to 
be served and the demographics of such members 
and advisory board. 
‘‘(2) A summary of the roles of the members of 
the consortium and advisory board. 
‘‘(3) The selection criteria, process, and strat-
egy used by the consortium to recruit, engage, and 
select NMC Scholars. 
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‘‘(4) With respect to the NMC Scholars partici-
pating in the NMC Program— 
‘‘(A) self-reported demographic data (in-
cluding race and ethnicity, sex, sexual orienta-
tion, gender identity, date of birth, English pro-
ficiency status, fluency in other languages, dis-
advantaged (educational or economic) back-
ground status, disability, the census tract or 
current address, or other demographic data as 
appropriate); 
‘‘(B) the percentages of NMC Scholars 
who successfully achieve transfer-level math and 
English by the completion of their second year 
enrolled in a community college, disaggregated 
by race and ethnicity of student populations so 
enrolled in such a community college; 
‘‘(C) the rate of acceptance to partici-
pating 4-year institutions of higher education 
and 4-year college pre-medical training pro-
grams for transfer students applying from par-
ticipating community colleges; 
‘‘(D) the rate of NMC scholars eligible to 
transfer, or accepted to attend, a participating 
4-year institution of higher education after 
completing two years, two and one-half years, 
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or three or more years, in special cir-
cumstances, of enrollment in a community col-
lege. 
‘‘(E) when available, career advancement 
data, including— 
‘‘(i) whether the scholar was accepted 
to a 4-year institution of higher education, 
medical school, another health professions 
program, or another STEM professions 
program; 
‘‘(ii) whether the scholar graduated 
from medical school, another health profes-
sions program, or another STEM profes-
sions program; 
‘‘(iii) whether the scholar pursued a 
career in primary care, psychiatry, or an-
other health profession in a rural or under-
served setting; 
‘‘(iv) the National Provider Identifier 
assigned to such student, as available; and 
‘‘(v) such other information as deter-
mined to be appropriate by the Secretary. 
‘‘(5) An evaluation of the success of the NMC 
Program, including with respect to— 
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‘‘(A) whether the program was able to sup-
port not less than 50 students in the first year 
of implementation of the program; 
‘‘(B) the number of semesters in commu-
nity college each such student enrolled in, what 
type of college or university the student was en-
rolled in, which degree the student pursued, 
and which career pathway the student is pur-
suing; 
‘‘(C) whether the program developed a 
partnership agreement with one or more cam-
pus-based learning communities, groups, or en-
tities, as specified in subsection (g)(8); and 
‘‘(D) whether and to what extent the pro-
gram was able to align its goals and equity 
strategies, and maximize the use of available re-
sources and funds, as specified in subsection 
(d)(4). 
‘‘(k) REPORT TO CONGRESS.—Not later than the end 
of fiscal year 2028, the Secretary, acting through the Ad-
ministrator of the Health Resources and Services Admin-
istration, shall submit an annual report to the Congress 
that— 
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‘‘(1) summarizes the information submitted in 
the evaluation and report under subsections (j) and 
(k); 
‘‘(2) describes the contracts, strategy, and goals 
shared between the Secretary and each consortium 
receiving a grant under this section; 
‘‘(3) includes data on the planned and actual 
use of funds by the consortium and the Secretary in 
carrying out this section; 
‘‘(4) assesses the goals and progress of the 
NMC Program, including the potential impact of 
NMC Scholars on health care access and quality; 
and 
‘‘(5) makes recommendations for improvements 
to the program. 
‘‘(l) PRIVACY PROTECTIONS.—In publishing data 
under this section, the Secretary shall take all necessary 
steps to protect the privacy of individuals whose informa-
tion is included in such data, including— 
‘‘(1) complying with privacy protections com-
parable to those applicable under the HIPAA pri-
vacy regulation (as defined in section 1180(b)(3) of 
the Social Security Act) to covered entities (as de-
fined for purposes of such regulation); 
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‘‘(2) not using or disclosing the information 
generated pursuant to the program for any purpose 
other than carrying out the program; and 
‘‘(3) not publishing or selling individually iden-
tifiable information generated pursuant to the pro-
gram nor transmitting such data for purposes other 
than carrying out the program, including not shar-
ing such information with any local, State, or Fed-
eral law enforcement agency. 
‘‘(m) DEFINITIONS.—In this section: 
‘‘(1) The term ‘State’ means each State of the 
United States, the District of Columbia, American 
Samoa, Guam, the Northern Mariana Islands, Puer-
to Rico, the Virgin Islands of the United States, and 
any other territory or possession of the United 
States, and each federally recognized Indian Tribe. 
‘‘(2) The term ‘educationally disadvantaged’, 
with respect to the background of a student seeking 
to be selected as an NMC scholar, means that the 
student— 
‘‘(A) is a member of a racial and ethnic 
minority group (as defined in section 1707) 
that is under-represented in medicine; 
‘‘(B) resides in a low-income community; 
‘‘(C) is a first-generation college attendee; 
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‘‘(D) attended high school— 
‘‘(i) in a health professional shortage 
area designated under section 332 or a 
medically underserved area (as defined in 
section 330I(a)) or in a rural setting (as 
defined by the Office of Rural Health Pol-
icy); or 
‘‘(ii) with a low grade point average 
(2.0 cumulative on a 4.0 scale), based on 
most recent annual data available; 
‘‘(iii) based on the most recent annual 
data available, had either— 
‘‘(I) a low percentage of seniors 
receiving a high school diploma; or 
‘‘(II) a low percentage of grad-
uates who go to college during the 
first year after graduation; or 
‘‘(iv) has low per capita funding; or 
‘‘(v) based on the most recent annual 
data available, a high rate of the enrolled 
students are eligible for free or reduced- 
price lunches. 
‘‘(3) The term ‘primary care’ means, with re-
spect to a physician, practicing as a general practi-
tioner, family practice practitioner, general internist, 
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pediatrician, psychiatrist, or obstetrician or gyne-
cologist. 
‘‘(n) FUNDING.— 
‘‘(1) AUTHORIZATION
OF
APPROPRIATIONS.— 
There are authorized to be appropriated to carry out 
this section— 
‘‘(A) $27,000,000 for fiscal year 2023; 
‘‘(B) $54,000,000 for fiscal year 2024; 
‘‘(C) $81,000,000 for fiscal year 2025; 
‘‘(D) $108,000,000 for fiscal year 2026; 
and 
‘‘(E) $135,000,000 for fiscal year 2027. 
‘‘(2) ALLOCATION AMONG CONSORTIA.—Of the 
amount made available under paragraph (1) for a 
fiscal year, the Secretary shall allot not more than 
$1, 350,000 to each consortium. 
‘‘(3) LIMITATION
ON
ADMINISTRATIVE
EX-
PENSES.—A consortium may use not more than 30 
percent of funds allocated to such consortium for ad-
ministrative expenses of the consortium in carrying 
out an NMC Program.’’. 
Æ 
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