158 
‘‘(f) AUTHORIZATION OF APPROPRIATIONS.—There 
is authorized to be appropriated to carry out this section 
such sums as may be necessary for each of fiscal years 
2015 through 2020. 
‘‘SEC. 3420. PATSY MINK HEALTH AND GENDER RESEARCH 
FELLOWSHIP PROGRAM. 
‘‘(a) IN GENERAL.—The Director of the Centers for 
Disease Control and Prevention, in collaboration with the 
Deputy Assistant Secretary for Minority Health, the Ad-
ministrator of the Substance Abuse and Mental Health 
Services Administration, and the Director of the Indian 
Health Services, shall award research fellowships to post- 
baccalaureate students to conduct research that will exam-
ine gender and health disparities and to pursue a career 
in the health professions. 
‘‘(b) ELIGIBILITY.—To be eligible to receive a fellow-
ship under subsection (a) an individual shall— 
‘‘(1) have experience in health research or pub-
lic health practice; 
‘‘(2) reside in a health professional shortage 
area as determined by the Secretary; 
‘‘(3) have expressed an interest in the health 
professions; 
‘‘(4) demonstrate promise for becoming a leader 
in the field of women’s health; 
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‘‘(5) secure admission to a health professions 
school or graduate program with an emphasis in 
gender studies; 
‘‘(6) comply with subsection (f); and 
‘‘(7) submit to the Secretary an application at 
such time, in such manner, and containing such in-
formation as the Secretary may require. 
‘‘(c) USE OF FUNDS.—Amounts received under an 
award under subsection (a) shall be used to support oppor-
tunities for students to become researchers and advance 
the research base on the intersection between gender and 
health. 
‘‘(d) PRIORITY.—In awarding grants under sub-
section (a), the Director of the Centers for Disease Con-
trol and Prevention shall give priority to those applicants 
that— 
‘‘(1) are from disadvantaged backgrounds; and 
‘‘(2) have identified a mentor and academic ad-
visor who will assist in the completion of their grad-
uate or professional degree and have secured a re-
search assistant position with a researcher working 
in the area of gender and health. 
‘‘(e) FELLOWSHIPS.—The Director of the Centers for 
Disease Control and Prevention may approve fellowships 
for individuals under this section for any period of edu-
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cation in the student’s graduate or health profession ten-
ure, except that such a fellowship may not be provided 
to an individual for more than 3 years, and such a fellow-
ship may not exceed $18,000 per academic year (notwith-
standing any other provision of law regarding the amount 
of fellowship). 
‘‘(f) AUTHORIZATION OF APPROPRIATIONS.—There 
is authorized to be appropriated to carry out this section 
such sums as may be necessary for each of fiscal years 
2015 through 2020. 
‘‘SEC. 3420A. PAUL DAVID WELLSTONE INTERNATIONAL 
HEALTH FELLOWSHIP PROGRAM. 
‘‘(a) IN GENERAL.—The Director of the Agency for 
Healthcare Research and Quality, in collaboration with 
the Deputy Assistant Secretary for Minority Health, shall 
award research fellowships to college students or recent 
graduates to advance their understanding of international 
health. 
‘‘(b) ELIGIBILITY.—To be eligible to receive a fellow-
ship under subsection (a) an individual shall— 
‘‘(1) have educational experience in the field of 
international health; 
‘‘(2) reside in a health professional shortage 
area as determined by the Secretary; 
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‘‘(3) demonstrate promise for becoming a leader 
in the field of international health; 
‘‘(4) be a college senior or recent graduate of 
a four-year higher education institution; 
‘‘(5) comply with subsection (e); and 
‘‘(6) submit to the Secretary an application at 
such time, in such manner, and containing such in-
formation as the Secretary may require. 
‘‘(c) USE OF FUNDS.—Amounts received under an 
award under subsection (a) shall be used to support oppor-
tunities for students to become health professionals and 
to advance their knowledge about international issues re-
lating to health care access and quality. 
‘‘(d) PRIORITY.—In awarding grants under sub-
section (a), the Director shall give priority to those appli-
cants that— 
‘‘(1) are from a disadvantaged background; and 
‘‘(2) have identified a mentor at a health pro-
fessions school or institution, an academic advisor to 
assist in the completion of their graduate or profes-
sional degree, and an advisor from an international 
health non-governmental organization, private volun-
teer organization, or other international institution 
or program that focuses on increasing health care 
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access and quality for residents in developing coun-
tries. 
‘‘(e) FELLOWSHIPS.—The Secretary shall approve 
fellowships for college seniors or recent graduates, except 
that such a fellowship may not be provided to an indi-
vidual for more than 6 months, may not be awarded to 
a graduate that has not been enrolled in school for more 
than 1 year, and may not exceed $4,000 per academic year 
(notwithstanding any other provision of law regarding the 
amount of fellowship). 
‘‘(f) AUTHORIZATION OF APPROPRIATIONS.—There 
is authorized to be appropriated to carry out this section, 
such sums as may be necessary for each of fiscal years 
2015 through 2020. 
‘‘SEC. 3420B. EDWARD R. ROYBAL HEALTH SCHOLAR PRO-
GRAM. 
‘‘(a) IN GENERAL.—The Director of the Agency for 
Healthcare Research and Quality, the Director of the Cen-
ters for Medicare and Medicaid Services, and the Adminis-
trator for Health Resources and Services Administration, 
in collaboration with the Deputy Assistant Secretary for 
Minority Health, shall award grants to eligible entities to 
expose entering graduate students to the health profes-
sions. 
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‘‘(b) ELIGIBILITY.—To be eligible to receive a grant 
under subsection (a), an entity shall— 
‘‘(1) be a clinical, public health, or health serv-
ices organization, community-based, academic, or 
nonprofit entity, or other entity determined appro-
priate by the Director of the Agency for Healthcare 
Research and Quality; 
‘‘(2) serve in a health professional shortage 
area as determined by the Secretary; 
‘‘(3) work with students obtaining a degree in 
the health professions; and 
‘‘(4) submit to the Secretary an application at 
such time, in such manner, and containing such in-
formation as the Secretary may require. 
‘‘(c) USE OF FUNDS.—Amounts received under a 
grant awarded under subsection (a) shall be used to sup-
port opportunities that expose students to non-research- 
based health professions, including— 
‘‘(1) public health policy; 
‘‘(2) health care and pharmaceutical policy; 
‘‘(3) health care administration and manage-
ment; 
‘‘(4) health economics; and 
‘‘(5) other professions determined appropriate 
by the Director of the Agency for Healthcare Re-
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search and Quality, the Director of the Centers for 
Medicare and Medicaid Services, and the Adminis-
trator for Health Resources and Services Adminis-
tration. 
‘‘(d) PRIORITY.—In awarding grants under sub-
section (a), the Director of the Agency for Healthcare Re-
search and Quality shall give priority to those entities 
that— 
‘‘(1) have experience with health disparity elimi-
nation programs; 
‘‘(2) facilitate training in the fields described in 
subsection (c); and 
‘‘(3) provide counseling or other services de-
signed to assist such individuals in successfully com-
pleting their education at the postsecondary level. 
‘‘(e) STIPENDS.—The Secretary may approve the 
payment of stipends for individuals under this section for 
any period of education in student-enhancement programs 
(other than regular courses) at health professions schools 
or entities, except that such a stipend may not be provided 
to an individual for more than 2 months, and such a sti-
pend may not exceed $100 per day (notwithstanding any 
other provision of law regarding the amount of stipends). 
‘‘(f) AUTHORIZATION OF APPROPRIATIONS.—There 
is authorized to be appropriated to carry out this section 
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such sums as may be necessary for each of fiscal years 
2015 through 2020.’’. 
SEC. 307. MCNAIR POSTBACCALAUREATE ACHIEVEMENT 
PROGRAM. 
Section 402E of the Higher Education Act of 1965 
(20 U.S.C. 1070a–15) is amended by striking subsection 
(g) and inserting the following: 
‘‘(g) COLLABORATION IN HEALTH PROFESSION DI-
VERSITY TRAINING PROGRAMS.—The Secretary shall co-
ordinate with the Secretary of Health and Human Serv-
ices to ensure that there is collaboration between the goals 
of the program under this section and programs of the 
Health Resources and Services Administration that pro-
mote health workforce diversity. The Secretary of Edu-
cation shall take such measures as may be necessary to 
encourage students participating in projects assisted 
under this section to consider health profession careers. 
‘‘(h) FUNDING.—From amounts appropriated pursu-
ant to the authority of section 402A(g), the Secretary 
shall, to the extent practicable, allocate funds for projects 
authorized by this section in an amount which is not less 
than $31,000,000 for each of the fiscal years 2015 
through 2021.’’. 
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SEC. 308. RULES FOR DETERMINATION OF FULL-TIME 
EQUIVALENT RESIDENTS FOR COST-REPORT-
ING PERIODS. 
(a) DGME DETERMINATIONS.—Section 1886(h)(4) 
of the Social Security Act (42 U.S.C. 1395ww(h)(4)) is 
amended— 
(1) in subparagraph (E), by striking ‘‘Subject 
to subparagraphs (J) and (K), such rules’’ and in-
serting ‘‘Subject to subparagraphs (J), (K), and (L), 
such rules’’; 
(2) in subparagraph (J), by striking ‘‘Such 
rules’’ and inserting ‘‘Subject to subparagraph (L), 
such rules’’; 
(3) in subparagraph (K), by striking ‘‘In deter-
mining’’ and inserting ‘‘Subject to subparagraph 
(L), in determining’’; and 
(4) by adding at the end the following new sub-
paragraph: 
‘‘(L) For purposes of cost-reporting peri-
ods beginning on or after October 1, 2014, in 
determining the hospital’s number of full-time 
equivalent residents for purposes of this para-
graph, all the time spent by an intern or resi-
dent in an approved medical residency training 
program shall be counted toward the determina-
tion of full-time equivalency if the hospital— 
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‘‘(i) is recognized as a subsection (d) 
hospital; 
‘‘(ii) is recognized as a subsection (d) 
Puerto Rico hospital; 
‘‘(iii) is reimbursed under a reim-
bursement system authorized under section 
1814(b)(3); or 
‘‘(iv) is a provider-based hospital out-
patient department.’’. 
(b) 
IME 
DETERMINATIONS.—Section 
1886(d)(5)(B)(x) of the Social Security Act (42 U.S.C. 
1395ww(d)(5)(B)(x)) is amended— 
(1) in subclause (II), by striking ‘‘In deter-
mining’’ and inserting ‘‘Subject to subclause (x)(IV), 
in determining’’; 
(2) in subclause (III), by striking ‘‘In deter-
mining’’ and inserting ‘‘Subject to subclause (x)(IV), 
in determining’’; and 
(3) by adding at the end the following new sub-
clause: 
‘‘(IV) The provisions of subpara-
graph (L) of subsection (h)(4) shall 
apply under this subparagraph in the 
same manner as they apply under 
such subsection.’’. 
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SEC. 309. DEVELOPING AND IMPLEMENTING STRATEGIES 
FOR LOCAL HEALTH EQUITY. 
(a) GRANTS.—The Secretaries of Health and Human 
Services, Education, and Labor, acting jointly, shall make 
grants to academic institutions for the purposes of— 
(1) in accordance with subsection (b), devel-
oping capacity— 
(A) to build an evidence base for successful 
strategies for increasing local health equity; and 
(B) to serve as national models of driving 
local health equity; 
(2) in accordance with subsection (c), devel-
oping a strategic partnership with the community in 
which the academic institution is located; and 
(3) collecting data on, and periodically evalu-
ating, the effectiveness of the institution’s programs 
funded through this section to enable the institution 
to adapt accordingly for maximum efficiency and 
success. 
(b) DEVELOPING CAPACITY FOR INCREASING LOCAL 
HEALTH EQUITY.—As a condition on receipt of a grant 
under subsection (a), an academic institution shall agree 
to use the grant to build an evidence base for successful 
strategies for increasing local health equity, and to serve 
as a national model of driving local health equity, by sup-
porting— 
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