‘‘(3) prepare and submit to the Secretary an 
application at such time, in such manner, and con-
taining such information as the Secretary may re-
quire. 
‘‘(c) 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 
2008 through 2013. 
‘‘SEC. 3019. REGIONAL MINORITY CENTERS OF EXCEL-
LENCE PROGRAMS. 
‘‘(a) ESTABLISHMENT.—The Office of Minority 
Health, in collaboration with the Health Resources and 
Services Administration and the National Center on Mi-
nority Health and Health Disparities, shall establish and 
jointly fund Regional Minority Centers of Excellence Pro-
grams in medically underserved regions through the award 
of major funded, long-term cooperative agreements to eli-
gible minority community-based organizations, school dis-
tricts, and health professions organizations. 
‘‘(b) USE OF FUNDS.—The Office of Minority Health 
shall not award a cooperative agreement to an entity for 
a Regional Minority Centers of Excellence Program under 
subsection (a) unless the entity agrees that its program 
will include— 
VerDate Aug 31 2005 
19:56 Jul 14, 2007
Jkt 059200
PO 00000
Frm 00047
Fmt 6652
Sfmt 6201
E:\BILLS\H3014.IH
H3014
rwilkins on PROD1PC63 with BILLS
‘‘(1) recruitment of minority students and fac-
ulty; and 
‘‘(2) development of curriculum on minority 
health for health professions students, allied health 
students, and other health professionals. 
‘‘(c) ELIGIBILITY.—To be eligible to receive a cooper-
ative agreement under subsection (a), a minority commu-
nity-based organization, school district, or profession orga-
nization must be recognized for its demonstrated ability 
to engage minority community involvement in health care 
programs. 
‘‘(d) PRIORITY.—In awarding cooperative agreements 
under subsection (a), the Office of Minority Health shall 
give priority to entities that— 
‘‘(1) will use the agreement in a geographic 
area that has a large medically underserved minority 
population; and 
‘‘(2) will use a regional approach through part-
nerships with other health professions schools, pri-
vate sector entities, school districts, and community- 
based organizations that serve the area.’’. 
SEC. 202. HEALTH CAREERS OPPORTUNITY PROGRAM. 
(a) PURPOSE.—It is the purpose of this section to 
diversify the health care workforce by increasing the num-
ber of individuals from disadvantaged backgrounds in the 
VerDate Aug 31 2005 
19:56 Jul 14, 2007
Jkt 059200
PO 00000
Frm 00048
Fmt 6652
Sfmt 6201
E:\BILLS\H3014.IH
H3014
rwilkins on PROD1PC63 with BILLS
health and allied health professions by enhancing the aca-
demic skills of students from disadvantaged backgrounds 
and supporting them in successfully competing, entering, 
and graduating from health professions training pro-
grams. 
(b) AUTHORIZATION OF APPROPRIATIONS.—Section 
740(c) of the Public Health Service Act (42 U.S.C. 
293d(c)) is amended by striking ‘‘$29,400,000’’ and all 
that follows through ‘‘2002’’ and inserting ‘‘$50,000,000 
for fiscal year 2008, and such sums as may be necessary 
for each of fiscal years 2009 through 2013’’. 
SEC. 203. PROGRAM OF EXCELLENCE IN HEALTH PROFES-
SIONS 
EDUCATION 
FOR 
UNDERREP-
RESENTED MINORITIES. 
(a) PURPOSE.—It is the purpose of this section to 
diversify the health care workforce by supporting pro-
grams of excellence in designated health professions 
schools with a demonstrated set of effective policies, cri-
teria, programs, performance standards, and measures 
that document commitment and capacity to underrep-
resented minority populations with a focus on minority 
health issues, cultural and linguistic competence, and 
eliminating racial and ethnic disparities in health and 
health care. 
VerDate Aug 31 2005 
19:56 Jul 14, 2007
Jkt 059200
PO 00000
Frm 00049
Fmt 6652
Sfmt 6201
E:\BILLS\H3014.IH
H3014
rwilkins on PROD1PC63 with BILLS
(b) AUTHORIZATION
OF APPROPRIATION.—Section 
736(h)(1) of the Public Health Service Act (42 U.S.C. 
293(h)(1)) is amended to read as follows: 
‘‘(1) AUTHORIZATION
OF
APPROPRIATIONS.— 
For the purpose of making grants under subsection 
(a), there are authorized to be appropriated 
$50,000,000 for fiscal year 2008, and such sums as 
may be necessary for each of the fiscal years 2009 
through 2013.’’. 
SEC. 204. MINORITY-SERVING INSTITUTIONS AND HIS-
PANIC-SERVING 
HEALTH 
PROFESSIONS 
SCHOOLS. 
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. 742. MINORITY-SERVING INSTITUTIONS AND HIS-
PANIC-SERVING 
HEALTH 
PROFESSIONS 
SCHOOLS. 
‘‘(a) IN GENERAL.—The Secretary, acting through 
the Administrator of the Health Resources and Services 
Administration, shall award grants to minority-serving in-
stitutions and Hispanic-serving health professions schools 
for the purpose of carrying out programs to recruit under-
represented individuals to enroll in and graduate from 
VerDate Aug 31 2005 
19:56 Jul 14, 2007
Jkt 059200
PO 00000
Frm 00050
Fmt 6652
Sfmt 6201
E:\BILLS\H3014.IH
H3014
rwilkins on PROD1PC63 with BILLS
such schools, which may include providing scholarships 
and other financial assistance as appropriate. 
‘‘(b) DEFINITIONS.—In this section: 
‘‘(1) The term ‘Hispanic-serving health profes-
sions school’ means an entity that— 
‘‘(A) is a school or program under section 
799B; 
‘‘(B) has an enrollment of full-time equiva-
lent students that is made up of at least 9 per-
cent Hispanic students; 
‘‘(C) has been effective in carrying out pro-
grams to recruit Hispanic individuals to enroll 
in and graduate from the school; 
‘‘(D) has been effective in recruiting and 
retaining Hispanic faculty members; and 
‘‘(E) has a significant number of graduates 
who are providing health services to medically 
underserved populations or to individuals in 
health professional shortage areas. 
‘‘(2) The term ‘historically Black college or uni-
versity’ means a part B institution (as defined in 
section 322(2) of the Higher Education Act of 
1965). 
‘‘(3) The term ‘minority-serving institution’ 
means an entity that is— 
VerDate Aug 31 2005 
19:56 Jul 14, 2007
Jkt 059200
PO 00000
Frm 00051
Fmt 6652
Sfmt 6201
E:\BILLS\H3014.IH
H3014
rwilkins on PROD1PC63 with BILLS
‘‘(A) an historically Black college or uni-
versity; 
‘‘(B) an Hispanic-serving institution (as 
defined in section 502(a)(5) of the Higher Edu-
cation Act of 1965); 
‘‘(C) a tribally controlled college or univer-
sity (as defined in section 2(a)(4) of the Trib-
ally Controlled College or University Assistance 
Act of 1978); 
‘‘(D) an Alaska Native-serving institution 
(as defined in section 317(b)(2) of the Higher 
Education Act of 1965); or 
‘‘(E) a Native Hawaiian-serving institution 
(as defined in section 317(b)(4) of the Higher 
Education Act of 1965).’’. 
SEC. 205. HEALTH PROFESSIONS STUDENT LOAN FUND; AU-
THORIZATIONS 
OF 
APPROPRIATIONS 
RE-
GARDING 
STUDENTS 
FROM 
UNDERREP-
RESENTED MINORITY COMMUNITIES. 
Section 724(f) of the Public Health Service Act (42 
U.S.C. 292t(f)) is amended by inserting before paragraph 
(2) the following: 
‘‘(1) IN
GENERAL.—With respect to making 
Federal capital contributions to student loan funds 
for purposes of subsection (a), there is authorized to 
VerDate Aug 31 2005 
19:56 Jul 14, 2007
Jkt 059200
PO 00000
Frm 00052
Fmt 6652
Sfmt 6201
E:\BILLS\H3014.IH
H3014
rwilkins on PROD1PC63 with BILLS
be appropriated $50,000,000 for fiscal year 2008, 
and such sums as may be necessary for each of the 
fiscal years 2009 through 2013.’’. 
SEC. 206. NATIONAL HEALTH SERVICE CORPS; TRAINING 
PROGRAMS. 
(a) IN GENERAL.—Section 331(b) of the Public 
Health Service Act (42 U.S.C. 254d(b)) is amended by 
adding at the end the following: 
‘‘(3) The Secretary shall ensure that the individuals 
with respect to whom activities under paragraphs (1) and 
(2) are carried out include individuals from disadvantaged 
backgrounds, including activities carried out to provide 
health professions students with information on the Schol-
arship and Repayment Programs.’’. 
(b) ASSIGNMENT OF CORPS PERSONNEL.— 
(1) IN
GENERAL.—Section 333(a)(3) of the 
Public Health Service Corps (42 U.S.C. 254f(a)(3)) 
is amended to read as follows: 
‘‘(3)(A) In approving applications for assign-
ment of members of the Corps the Secretary shall 
not discriminate against application from entities 
which are not receiving Federal financial assistance 
under this Act. 
‘‘(B) In approving such applications, the Sec-
retary shall— 
VerDate Aug 31 2005 
19:56 Jul 14, 2007
Jkt 059200
PO 00000
Frm 00053
Fmt 6652
Sfmt 6201
E:\BILLS\H3014.IH
H3014
rwilkins on PROD1PC63 with BILLS
‘‘(i) give preference to applications in 
which a nonprofit entity or public entity shall 
provide a site to which Corps members may be 
assigned; and 
‘‘(ii) give highest preference to applica-
tions— 
‘‘(I) from entities described in clause 
(i) that are federally qualified health cen-
ters as defined in section 1905(l)(2)(B) of 
the Social Security Act; and 
‘‘(II) from entities described in clause 
(i) that primarily serve rural communities, 
racial and ethnic minorities, and other 
health disparity populations with annual 
incomes at or below twice those set forth 
in the most recent poverty guidelines 
issued by the Secretary pursuant to section 
673(2) of the Community Services Block 
Grant Act (42 U.S.C. 9902(2)).’’. 
(2) PRIORITIES IN ASSIGNMENT OF CORPS PER-
SONNEL.—Section 333A of the Public Health Serv-
ice Act (42 U.S.C. 254f-1) is amended— 
(A) in subsection (a)— 
VerDate Aug 31 2005 
19:56 Jul 14, 2007
Jkt 059200
PO 00000
Frm 00054
Fmt 6652
Sfmt 6201
E:\BILLS\H3014.IH
H3014
rwilkins on PROD1PC63 with BILLS
(i) by redesignating paragraphs (1), 
(2), and (3) as paragraphs (2), (3), and 
(4), respectively; and 
(ii) by striking ‘‘shall—’’ and insert-
ing ‘‘shall— 
‘‘(1) give preference to applications as set forth 
in subsection (a)(3) of section 333;’’; 
(B) in subsection (b)(1), by striking ‘‘sub-
section (a)(1)(A)’’ and inserting ‘‘subsection 
(a)(2)(A)’’; and 
(C) by striking ‘‘subsection (a)(1)’’ each 
place it appears and inserting ‘‘subsection 
(a)(2)’’. 
(3) 
CONFORMING
AMENDMENT.—Section 
338I(c)(3)(B)(ii) of the Public Health Service Act 
(42 U.S.C. 254q-1(c)(3)(B)(ii)) is amended by strik-
ing ‘‘section 333A(a)(1)’’ and inserting ‘‘section 
333A(a)(2)’’. 
(c) REAUTHORIZATION OF NATIONAL HEALTH SERV-
ICE CORPS SCHOLARSHIP PROGRAM AND LOAN REPAY-
MENT PROGRAM.— 
(1) REAUTHORIZATION OF APPROPRIATIONS.— 
Section 338H(a) of the Public Health Service Act 
(42 U.S.C. 254q(a)) is amended by striking 
‘‘$146,250,000’’ and all that follows through the pe-
VerDate Aug 31 2005 
19:56 Jul 14, 2007
Jkt 059200
PO 00000
Frm 00055
Fmt 6652
Sfmt 6201
E:\BILLS\H3014.IH
H3014
rwilkins on PROD1PC63 with BILLS
riod and inserting ‘‘$300,000,000 for each of fiscal 
years 2008 through 2012.’’. 
(2) SCHOLARSHIPS FOR MEDICAL STUDENTS.— 
Section 338H of such Act is further amended by 
adding at the end the following: 
‘‘(d) SCHOLARSHIPS FOR MEDICAL STUDENTS.—For 
contracts for scholarships under this subpart to individ-
uals who are accepted for enrollment, or enrolled, in a 
course of study or program described in section 
338A(b)(1)(B) that leads to a degree in medicine, osteo-
pathic medicine, dentistry, or mental health services, the 
Secretary shall, of the amounts appropriated under sub-
section (a) for a fiscal year, obligate the greater of 10 per-
cent or such amount as necessary to fund ongoing activi-
ties related to such contracts.’’. 
(d) REAUTHORIZATION OF CERTAIN PROGRAMS PRO-
VIDING GRANTS FOR HEALTH PROFESSIONS TRAINING 
FOR DIVERSITY.— 
(1) GRANTS FOR CENTERS OF EXCELLENCE.— 
Section 736(h)(1) of the Public Health Service Act 
(42 U.S.C. 293(h)(1)) is amended by striking 
‘‘$26,000,000’’ and all that follows through ‘‘2002’’ 
and inserting ‘‘$50,000,000 for each of fiscal years 
2008 through 2012’’. 
VerDate Aug 31 2005 
19:56 Jul 14, 2007
Jkt 059200
PO 00000
Frm 00056
Fmt 6652
Sfmt 6201
E:\BILLS\H3014.IH
H3014
rwilkins on PROD1PC63 with BILLS
(2) EDUCATIONAL
ASSISTANCE
FOR
INDIVID-
UALS FROM DISADVANTAGED BACKGROUNDS.—Sec-
tion 740(c) of such Act (42 U.S.C. 293d(c)) is 
amended by striking ‘‘$29,400,000’’ and all that fol-
lows through ‘‘1999 through 2002.’’ and inserting 
‘‘$50,000,000 for each of fiscal years 2008 through 
2012.’’. 
(e) EXPANSION OF RESIDENCY TRAINING PROGRAMS 
AND PRIMARY CARE SERVICES OFFERED BY COMMUNITY 
HEALTH CENTERS.—Part C of title VII of the Public 
Health Service Act (42 U.S.C. 293k et seq.) is amended— 
(1) by adding before section 747 the following: 
‘‘Subpart I—In General’’; and 
(2) by adding after section 748 the following: 
‘‘Subpart II—Additional Programs 
‘‘SEC. 749. GRANTS TO EXPAND MEDICAL RESIDENCY 
TRAINING 
PROGRAMS 
AT 
COMMUNITY 
HEALTH CENTERS. 
‘‘(a) PROGRAM AUTHORIZED.—The Secretary may 
make grants to community health centers— 
‘‘(1) to establish, at the centers, new or alter-
native-campus accredited medical residency training 
programs affiliated with a hospital or other health 
care facility; or 
VerDate Aug 31 2005 
19:56 Jul 14, 2007
Jkt 059200
PO 00000
Frm 00057
Fmt 6652
Sfmt 6201
E:\BILLS\H3014.IH
H3014
rwilkins on PROD1PC63 with BILLS
‘‘(2) to fund new residency positions within ex-
isting accredited medical residency training pro-
grams at the centers and their affiliated partners. 
‘‘(b) USE OF FUNDS.—Amounts from a grant under 
this section shall be used to cover the costs of establishing 
or expanding a medical residency training program de-
scribed in subsection (a), including costs associated with— 
‘‘(1) curriculum development; 
‘‘(2) equipment acquisition; 
‘‘(3) recruitment, training, and retention of 
residents and faculty; and 
‘‘(4) residency stipends. 
‘‘(c) APPLICATIONS.—A community health center 
seeking a grant under this section shall submit an applica-
tion to the Secretary at such time, in such manner, and 
containing such information as the Secretary may require. 
‘‘(d) PREFERENCE.—In selecting recipients for a 
grant under this section, the Secretary shall give pref-
erence to funding medical residency training programs fo-
cusing on primary health care. 
‘‘(e) DEFINITIONS.—In this section: 
‘‘(1) The term ‘accredited’, as applied to a new 
or alternative-campus medical residency training 
program, means a program that is accredited by a 
recognized body or bodies approved for such purpose 
VerDate Aug 31 2005 
19:56 Jul 14, 2007
Jkt 059200
PO 00000
Frm 00058
Fmt 6652
Sfmt 6201
E:\BILLS\H3014.IH
H3014
rwilkins on PROD1PC63 with BILLS
by the Accreditation Council for Graduate Medical 
Education, except that a new medical residency 
training program that, by reason of an insufficient 
period of operation, is not eligible for accreditation 
on or before the date of submission of an application 
under subsection (c) shall be deemed accredited if 
the Accreditation Council for Graduate Medical 
Education finds, after consultation with the appro-
priate accreditation body or bodies, that there is rea-
sonable assurance that the program will meet the ac-
creditation standards of such body or bodies prior to 
the date of graduation of the first entering class in 
that program. 
‘‘(2) The term ‘community health center’ means 
a health center as defined in section 330. 
‘‘SEC. 749A. GRANTS TO IMPROVE DELIVERY OF PRIMARY 
CARE SERVICES IN COMMUNITY HEALTH 
CENTERS. 
‘‘(a) PRIMARY CARE ACCESS GRANTS.— 
‘‘(1) PROGRAM AUTHORIZED.—The Secretary, 
acting through the Administrator of the Health Re-
sources and Services Administration, may make 
grants to community health centers for the purpose 
of increasing the number of medical service pro-
viders associated with such centers. 
VerDate Aug 31 2005 
19:56 Jul 14, 2007
Jkt 059200
PO 00000
Frm 00059
Fmt 6652
Sfmt 6201
E:\BILLS\H3014.IH
H3014
rwilkins on PROD1PC63 with BILLS
‘‘(2) GRANTS.—A recipient of a grant under 
this subsection shall be eligible to receive such 
grants for a total of 5 fiscal years. 
‘‘(3) USE OF FUNDS.—A recipient of a grant 
under this subsection shall use amounts from the 
grant for one or more of the following activities: 
‘‘(A) To recruit residents for medical resi-
dency training programs at the community 
health center. 
‘‘(B) To establish a multi-community phy-
sician mentoring program to encourage upper 
level residents to remain in the State or Terri-
tory in which the community health center and 
medical residency training program are located. 
‘‘(C) To enter into contracts for technical 
assistance for the purpose of recruiting or re-
taining primary health care staff. 
‘‘(D) To enter into contracts for technical 
assistance in preparing contracts with local pro-
viders of primary health care to provide services 
for medically underserved communities. 
‘‘(E) To enter into contracts for the devel-
opment and implementation of strategies to 
identify and retain health care professionals 
and specialists, including oral and mental 
VerDate Aug 31 2005 
19:56 Jul 14, 2007
Jkt 059200
PO 00000
Frm 00060
Fmt 6652
Sfmt 6201
E:\BILLS\H3014.IH
H3014
rwilkins on PROD1PC63 with BILLS
health providers, who are willing and able to 
provide direct actual service to the community 
health center on a referral basis. 
‘‘(4) APPLICATION.—A community health cen-
ter seeking a grant under this subsection shall sub-
mit an application to the Secretary at such time, in 
such manner, and containing such information as 
the Secretary may require. 
‘‘(b) GRANTS FOR PRIMARY CARE FACILITY CAPITAL 
EXPENDITURES.— 
‘‘(1) PROGRAM AUTHORIZED.—The Secretary, 
acting through the Administrator of the Health Re-
sources and Services Administration, may make 
grants to community health centers for the purpose 
of increasing primary health care capabilities 
through the construction, expansion, or renovation 
of facilities. 
‘‘(2) GRANTS.—A recipient of a grant under 
this subsection shall be eligible to receive such 
grants for a total of 5 fiscal years. 
‘‘(3) USE OF FUNDS.—A recipient of a grant 
under this subsection shall use amounts from the 
grant for one or more of the following activities: 
‘‘(A) To acquire or lease facilities. 
‘‘(B) To construct new facilities. 
VerDate Aug 31 2005 
19:56 Jul 14, 2007
Jkt 059200
PO 00000
Frm 00061
Fmt 6652
Sfmt 6201
E:\BILLS\H3014.IH
H3014
rwilkins on PROD1PC63 with BILLS
‘‘(C) To repair or modernize existing facili-
ties. 
‘‘(D) To purchase or lease medical equip-
ment. 
‘‘(c) DEFINITION.—The term ‘community health cen-
ter’ means a health center as defined in section 330. 
‘‘SEC. 749B. AUTHORIZATION OF APPROPRIATIONS. 
‘‘There 
is 
authorized 
to 
be 
appropriated 
$200,000,000 for fiscal year 2008 and such sums as may 
be necessary for each fiscal year thereafter to carry out 
this subpart.’’. 
(f) INTERDISCIPLINARY, COMMUNITY-BASED PRO-
GRAMS.— 
(1) AREA HEALTH EDUCATION CENTERS.—Sec-
tion 751(a) of the Public Health Service Act (42 
U.S.C. 294a(a)) is amended— 
(A) in paragraph (1)(A)— 
(i) in clause (i), by inserting at the 
end before the semicolon the following: ‘‘, 
with an emphasis on such personnel who 
focus on primary care’’; 
(ii) by redesignating clauses (ii) 
through (vii) as clauses (iii) through (viii), 
respectively; and 
VerDate Aug 31 2005 
19:56 Jul 14, 2007
Jkt 059200
PO 00000
Frm 00062
Fmt 6652
Sfmt 6201
E:\BILLS\H3014.IH
H3014
rwilkins on PROD1PC63 with BILLS
(iii) by inserting after clause (i) the 
following: 
‘‘(ii) foster and provide community- 
based training and education for health 
professions students in underserved com-
munities and among underserved popu-
lations, including but not limited to the 
National Health Service Corps, community 
and migrant health centers, rural health 
clinics, critical access hospitals, tribal 
health clinics, and public health depart-
ments;’’; and 
(B) by adding at the end the following: 
‘‘(3) 
POINT
OF
SERVICE
ENHANCEMENT 
GRANTS.— 
‘‘(A) IN
GENERAL.—The Secretary may 
award grants to entities receiving an award 
under paragraph (1) or (2) to improve the ef-
fectiveness of the programs operated by such 
entities or to enable the entities to respond to 
changes affecting such entities arising since the 
date of the receipt of the award under para-
graph (1) or (2). 
‘‘(B) APPLICATION.—To receive an award 
under this paragraph, an entity described under 
VerDate Aug 31 2005 
19:56 Jul 14, 2007
Jkt 059200
PO 00000
Frm 00063
Fmt 6652
Sfmt 6201
E:\BILLS\H3014.IH
H3014
rwilkins on PROD1PC63 with BILLS
subparagraph (A) shall submit to the Secretary 
an application at such time, in such manner, 
and containing such information as the Sec-
retary may require, including an explanation of 
the changes affecting such entity arising since 
the date of the receipt by the entity of the 
award under paragraph (1) or (2), such as 
changes in the demographics of the area served, 
the needs of the population served, and the sit-
uations encountered by such population and 
such entity.’’. 
(2) AUTHORIZATION
OF
APPROPRIATIONS.— 
Section 757 of the Public Health Service Act (42 
U.S.C. 294g) is amended— 
(A) 
in 
subsection 
(a), 
by 
striking 
‘‘$55,600,000’’ and all that follows through 
‘‘2002’’ and inserting ‘‘$125,000,000 for fiscal 
year 2008 and such sums as may be necessary 
for each of fiscal years 2009 through 2012’’; 
(B) by striking subsection (b) and insert-
ing the following: 
‘‘(b) ALLOCATION.— 
‘‘(1) IN
GENERAL.—Of the amounts appro-
priated under subsection (a) that the Secretary 
VerDate Aug 31 2005 
19:56 Jul 14, 2007
Jkt 059200
PO 00000
Frm 00064
Fmt 6652
Sfmt 6201
E:\BILLS\H3014.IH
H3014
rwilkins on PROD1PC63 with BILLS
makes available for each fiscal year to carry out sec-
tion 751, the Secretary shall obligate— 
‘‘(A) for awards under paragraph (1) of 
section 751(a), not more than 25 percent of 
such amounts in each fiscal year; and 
‘‘(B) for awards under paragraphs (2) and 
(3) of section 751(a), not less than 60 percent 
of such amounts in each fiscal year.’’; and 
(C) in subsection (c), by— 
(i) striking the subsection designation 
and heading and inserting the following: 
‘‘(c) SENSE OF THE CONGRESS.—It is the sense of 
the Congress that—’’. 
(ii) striking paragraph (1); and 
(iii) in paragraph (2), by— 
(I) striking the paragraph des-
ignation and all that follows through 
‘‘Congress that—’’; and 
(II) redesignating subparagraphs 
(A) and (B) as paragraphs (1) and 
(2) and indenting appropriately. 
SEC. 207. LOAN REPAYMENT PROGRAM OF THE CENTERS 
FOR DISEASE CONTROL AND PREVENTION. 
Section 317F(c) of the Public Health Service Act (42 
U.S.C. 247b–7(c)) is amended— 
VerDate Aug 31 2005 
19:56 Jul 14, 2007
Jkt 059200
PO 00000
Frm 00065
Fmt 6652
Sfmt 6201
E:\BILLS\H3014.IH
H3014
rwilkins on PROD1PC63 with BILLS
(1) by striking ‘‘and’’ after ‘‘1994,’’; and 
(2) by inserting before the period the following: 
‘‘$750,000 for fiscal year 2008, and such sums as 
may be necessary for each of the fiscal years 2009 
through 2013.’’. 
SEC. 
208. 
STRENGTHENING 
AND 
EXPANDING 
RURAL 
HEALTH PROVIDER NETWORKS. 
Section 330A of the Public Health Service Act (42 
U.S.C. 254c) is amended— 
(1) in subsection (h), by adding at the end the 
following: 
‘‘(4) RURAL MINORITY, BORDER, AND INDIAN 
POPULATIONS.—In making grants under this sec-
tion, the Director of the Office of Rural Health Pol-
icy of the Health Resources and Services Adminis-
tration, in coordination with the Director of the In-
dian Health Service and the Deputy Assistant Sec-
retary for Minority Health, shall make grants to en-
tities that serve rural minority, border, and Indian 
populations. 
‘‘(5) 
DIVERSITY
HEALTH
TRAINING
PRO-
GRAMS.—The Director of the Office of Rural Health 
Policy of the Health Resources and Services Admin-
istration, in coordination with the Director of the In-
dian Health Service and the Deputy Assistant Sec-
VerDate Aug 31 2005 
19:56 Jul 14, 2007
Jkt 059200
PO 00000
Frm 00066
Fmt 6652
Sfmt 6201
E:\BILLS\H3014.IH
H3014
rwilkins on PROD1PC63 with BILLS
retary for Minority Health, shall coordinate the 
awarding of grants under this section with the 
awarding of grants and contracts under section 765 
to connect and integrate diversity health training 
programs.’’; and 
(2) in subsection (j), by striking ‘‘and such 
sums as may be necessary for each of fiscal years 
2003 through 2006’’ and inserting ‘‘, such sums as 
may be necessary for each of fiscal years 2008 
through 2010, and $60,000,000 for each of fiscal 
years 2011 through 2015’’. 
SEC. 209. MCNAIR POSTBACCALAUREATE ACHIEVEMENT 
PROGRAM. 
Section 402E of the Higher Education Act of 1965 
(20 U.S.C. 1070a–15) is amended by striking subsection 
(f) and inserting the following: 
‘‘(f) COLLABORATION IN HEALTH PROFESSION DI-
VERSITY TRAINING PROGRAMS.—The Secretary of Edu-
cation shall coordinate with the Secretary of Health and 
Human Services to ensure that there is collaboration be-
tween the goals of the program under this section and pro-
grams of the Health Resources and Services Administra-
tion that promote health workforce diversity. The Sec-
retary of Education shall take such measures as may be 
VerDate Aug 31 2005 
19:56 Jul 14, 2007
Jkt 059200
PO 00000
Frm 00067
Fmt 6652
Sfmt 6201
E:\BILLS\H3014.IH
H3014
rwilkins on PROD1PC63 with BILLS
necessary to encourage participants in programs under 
this section to consider health profession careers. 
‘‘(g) FUNDING.—From amounts appropriated pursu-
ant to the authority of section 402A(f), 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 2008 
through 2014.’’. 
SEC. 210. ENSURING PROPORTIONAL REPRESENTATION OF 
INTERESTS OF RURAL AREAS ON MEDPAC. 
(a) IN GENERAL.—Section 1805(c)(2) of the Social 
Security Act (42 U.S.C. 1395b–6(c)(2)) is amended— 
(1) in subparagraph (A), by inserting ‘‘con-
sistent with subparagraph (E)’’ after ‘‘rural rep-
resentatives’’; and 
(2) by adding at the end the following new sub-
paragraph: 
‘‘(E) PROPORTIONAL REPRESENTATION OF 
INTERESTS OF RURAL AREAS.—In order to pro-
vide a balance between urban and rural rep-
resentatives under subparagraph (A), the pro-
portion of members who represent the interests 
of health care providers and Medicare bene-
ficiaries located in rural areas shall be no less 
than the proportion, of the total number of 
VerDate Aug 31 2005 
19:56 Jul 14, 2007
Jkt 059200
PO 00000
Frm 00068
Fmt 6652
Sfmt 6201
E:\BILLS\H3014.IH
H3014
rwilkins on PROD1PC63 with BILLS
Medicare beneficiaries, who reside in rural 
areas.’’. 
(b) EFFECTIVE DATE.—The amendments made by 
subsection (a) shall apply with respect to appointments 
made to the Medicare Payment Advisory Commission after 
the date of the enactment of this Act. 
TITLE III—DATA COLLECTION 
AND REPORTING 
SEC. 301. AMENDMENT TO THE PUBLIC HEALTH SERVICE 
ACT. 
(a) PURPOSE.—It is the purpose of this section to 
promote data collection, analysis, and reporting by race, 
ethnicity, and primary language among federally sup-
ported health programs. 
(b) AMENDMENT.—Title XXX of the Public Health 
Service Act, as amended by title II of this Act, is further 
amended by adding at the end the following: 
‘‘Subtitle 
B—Strengthening 
Data 
Collection, 
Improving 
Data 
Analysis, and Expanding Data 
Reporting 
‘‘SEC. 3031. DATA ON RACE, ETHNICITY, AND PRIMARY LAN-
GUAGE. 
‘‘(a) REQUIREMENTS.— 
VerDate Aug 31 2005 
19:56 Jul 14, 2007
Jkt 059200
PO 00000
Frm 00069
Fmt 6652
Sfmt 6201
E:\BILLS\H3014.IH
H3014
rwilkins on PROD1PC63 with BILLS
‘‘(1) IN
GENERAL.—Each health-related pro-
gram operated by or that receives funding or reim-
bursement, in whole or in part, either directly or in-
directly from the Department of Health and Human 
Services shall— 
‘‘(A) require the collection, by the agency 
or program involved, of data on the race, eth-
nicity, and primary language of each applicant 
for and recipient of health-related assistance 
under such program— 
‘‘(i) using, at a minimum, the cat-
egories for race and ethnicity described in 
the 1997 Office of Management and Budg-
et Standards for Maintaining, Collecting, 
and Presenting Federal Data on Race and 
Ethnicity; 
‘‘(ii) using the standards developed 
under subsection (e) for the collection of 
language data; 
‘‘(iii) collecting data for additional 
population groups if such groups can be 
aggregated into the minimum race and 
ethnicity categories; and 
‘‘(iv) where practicable, through self- 
report; 
VerDate Aug 31 2005 
19:56 Jul 14, 2007
Jkt 059200
PO 00000
Frm 00070
Fmt 6652
Sfmt 6201
E:\BILLS\H3014.IH
H3014
rwilkins on PROD1PC63 with BILLS
‘‘(B) with respect to the collection of the 
data described in subparagraph (A) for appli-
cants and recipients who are minors or other-
wise legally incapacitated, require that— 
‘‘(i) such data be collected from the 
parent or legal guardian of such an appli-
cant or recipient; and 
‘‘(ii) the preferred language of the 
parent or legal guardian of such an appli-
cant or recipient be collected; 
‘‘(C) systematically analyze such data 
using the smallest appropriate units of analysis 
feasible to detect racial and ethnic disparities in 
health and health care and when appropriate, 
for men and women separately, and report the 
results of such analysis to the Secretary, the 
Director of the Office for Civil Rights, the Com-
mittee on Health, Education, Labor, and Pen-
sions and the Committee on Finance of the 
Senate, and the Committee on Energy and 
Commerce and the Committee on Ways and 
Means of the House of Representatives; 
‘‘(D) provide such data to the Secretary on 
at least an annual basis; and 
VerDate Aug 31 2005 
19:56 Jul 14, 2007
Jkt 059200
PO 00000
Frm 00071
Fmt 6652
Sfmt 6201
E:\BILLS\H3014.IH
H3014
rwilkins on PROD1PC63 with BILLS
‘‘(E) ensure that the provision of assist-
ance to an applicant or recipient of assistance 
is not denied or otherwise adversely affected be-
cause of the failure of the applicant or recipient 
to provide race, ethnicity, and primary language 
data. 
‘‘(2) RULES
OF
CONSTRUCTION.—Nothing in 
this subsection shall be construed to— 
‘‘(A) permit the use of information col-
lected under this subsection in a manner that 
would adversely affect any individual providing 
any such information; and 
‘‘(B) require health care providers to col-
lect data. 
‘‘(b) PROTECTION OF DATA.—The Secretary shall 
ensure (through the promulgation of regulations or other-
wise) that all data collected pursuant to subsection (a) is 
protected— 
‘‘(1) under the same privacy protections as the 
Secretary applies to other health data under the reg-
ulations promulgated under section 264(c) of the 
Health Insurance Portability and Accountability Act 
of 1996 (Public Law 104–191; 110 Stat. 2033) re-
lating to the privacy of individually identifiable 
health information and other protections; and 
VerDate Aug 31 2005 
19:56 Jul 14, 2007
Jkt 059200
PO 00000
Frm 00072
Fmt 6652
Sfmt 6201
E:\BILLS\H3014.IH
H3014
rwilkins on PROD1PC63 with BILLS
‘‘(2) from all inappropriate internal use by any 
entity that collects, stores, or receives the data, in-
cluding use of such data in determinations of eligi-
bility (or continued eligibility) in health plans, and 
from other inappropriate uses, as defined by the 
Secretary. 
‘‘(c) NATIONAL PLAN OF THE DATA COUNCIL.—The 
Secretary shall develop and implement a national plan to 
ensure the collection of data in a culturally appropriate 
and competent manner, and to improve the collection, 
analysis, and reporting of racial, ethnic, and primary lan-
guage data at the Federal, State, territorial, Tribal, and 
local levels, including data to be collected under subsection 
(a). The Data Council of the Department of Health and 
Human Services, in consultation with the National Com-
mittee on Vital Health Statistics, the Office of Minority 
Health, and other appropriate public and private entities, 
shall make recommendations to the Secretary concerning 
the development, implementation, and revision of the na-
tional plan. Such plan shall include recommendations on 
how to— 
‘‘(1) implement subsection (a) while minimizing 
the cost and administrative burdens of data collec-
tion and reporting; 
VerDate Aug 31 2005 
19:56 Jul 14, 2007
Jkt 059200
PO 00000
Frm 00073
Fmt 6652
Sfmt 6201
E:\BILLS\H3014.IH
H3014
rwilkins on PROD1PC63 with BILLS
‘‘(2) expand awareness among Federal agencies, 
States, territories, Indian tribes, health providers, 
health plans, health insurance issuers, and the gen-
eral public that data collection, analysis, and report-
ing by race, ethnicity, and primary language is legal 
and necessary to assure equity and non-discrimina-
tion in the quality of health care services; 
‘‘(3) ensure that future patient record systems 
have data code sets for racial, ethnic, and primary 
language identifiers and that such identifiers can be 
retrieved from clinical records, including records 
transmitted electronically; 
‘‘(4) improve health and health care data collec-
tion and analysis for more population groups if such 
groups can be aggregated into the minimum race 
and ethnicity categories, including exploring the fea-
sibility of enhancing collection efforts in States for 
racial and ethnic groups that comprise a significant 
proportion of the population of the State; 
‘‘(5) provide researchers with greater access to 
racial, ethnic, and primary language data, subject to 
privacy and confidentiality regulations; and 
‘‘(6) safeguard and prevent the misuse of data 
collected under subsection (a). 
VerDate Aug 31 2005 
19:56 Jul 14, 2007
Jkt 059200
PO 00000
Frm 00074
Fmt 6652
Sfmt 6201
E:\BILLS\H3014.IH
H3014
rwilkins on PROD1PC63 with BILLS