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•AMDT. NO. 2786 
‘‘SEC. 272. ADMINISTRATION. 
‘‘(a) IN GENERAL.—The business of the Track shall 
be conducted by the Surgeon General with funds appro-
priated for and provided by the Department of Health and 
Human Services. The National Health Care Workforce 
Commission shall assist the Surgeon General in an advi-
sory capacity. 
‘‘(b) FACULTY.— 
‘‘(1) IN GENERAL.—The Surgeon General, after 
considering the recommendations of the National 
Health Care Workforce Commission, shall obtain the 
services of such professors, instructors, and adminis-
trative and other employees as may be necessary to 
operate the Track, but utilize when possible, existing 
affiliated health professions training institutions. 
Members of the faculty and staff shall be employed 
under salary schedules and granted retirement and 
other related benefits prescribed by the Secretary so 
as to place the employees of the Track faculty on a 
comparable basis with the employees of fully accred-
ited schools of the health professions within the 
United States. 
‘‘(2) TITLES.—The Surgeon General may con-
fer academic titles, as appropriate, upon the mem-
bers of the faculty. 
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•AMDT. NO. 2786 
‘‘(3) NONAPPLICATION
OF
PROVISIONS.—The 
limitations in section 5373 of title 5, United States 
Code, shall not apply to the authority of the Surgeon 
General under paragraph (1) to prescribe salary 
schedules and other related benefits. 
‘‘(c) AGREEMENTS.—The Surgeon General may ne-
gotiate agreements with agencies of the Federal Govern-
ment to utilize on a reimbursable basis appropriate exist-
ing Federal medical resources located in the United States 
(or locations selected in accordance with section 
271(a)(2)). Under such agreements the facilities con-
cerned will retain their identities and basic missions. The 
Surgeon General may negotiate affiliation agreements 
with accredited universities and health professions train-
ing institutions in the United States. Such agreements 
may include provisions for payments for educational serv-
ices provided students participating in Department of 
Health and Human Services educational programs. 
‘‘(d) PROGRAMS.—The Surgeon General may estab-
lish the following educational programs for Track stu-
dents: 
‘‘(1) Postdoctoral, postgraduate, and techno-
logical programs. 
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•AMDT. NO. 2786 
‘‘(2) A cooperative program for medical, dental, 
physician assistant, pharmacy, behavioral and men-
tal health, public health, and nursing students. 
‘‘(3) Other programs that the Surgeon General 
determines necessary in order to operate the Track 
in a cost-effective manner. 
‘‘(e) CONTINUING MEDICAL EDUCATION.—The Sur-
geon General shall establish programs in continuing med-
ical education for members of the health professions to 
the end that high standards of health care may be main-
tained within the United States. 
‘‘(f) AUTHORITY OF THE SURGEON GENERAL.— 
‘‘(1) IN GENERAL.—The Surgeon General is au-
thorized— 
‘‘(A) to enter into contracts with, accept 
grants from, and make grants to any nonprofit 
entity for the purpose of carrying out coopera-
tive enterprises in medical, dental, physician as-
sistant, 
pharmacy, 
behavioral 
and 
mental 
health, public health, and nursing research, 
consultation, and education; 
‘‘(B) to enter into contracts with entities 
under which the Surgeon General may furnish 
the services of such professional, technical, or 
clerical personnel as may be necessary to fulfill 
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•AMDT. NO. 2786 
cooperative enterprises undertaken by the 
Track; 
‘‘(C) to accept, hold, administer, invest, 
and spend any gift, devise, or bequest of per-
sonal property made to the Track, including 
any gift, devise, or bequest for the support of 
an academic chair, teaching, research, or dem-
onstration project; 
‘‘(D) to enter into agreements with entities 
that may be utilized by the Track for the pur-
pose of enhancing the activities of the Track in 
education, research, and technological applica-
tions of knowledge; and 
‘‘(E) to accept the voluntary services of 
guest scholars and other persons. 
‘‘(2) LIMITATION.—The Surgeon General may 
not enter into any contract with an entity if the con-
tract would obligate the Track to make outlays in 
advance of the enactment of budget authority for 
such outlays. 
‘‘(3) SCIENTISTS.—Scientists or other medical, 
dental, or nursing personnel utilized by the Track 
under an agreement described in paragraph (1) may 
be appointed to any position within the Track and 
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•AMDT. NO. 2786 
may be permitted to perform such duties within the 
Track as the Surgeon General may approve. 
‘‘(4) VOLUNTEER
SERVICES.—A person who 
provides voluntary services under the authority of 
subparagraph (E) of paragraph (1) shall be consid-
ered to be an employee of the Federal Government 
for the purposes of chapter 81 of title 5, relating to 
compensation for work-related injuries, and to be an 
employee of the Federal Government for the pur-
poses of chapter 171 of title 28, relating to tort 
claims. Such a person who is not otherwise employed 
by the Federal Government shall not be considered 
to be a Federal employee for any other purpose by 
reason of the provision of such services. 
‘‘SEC. 273. STUDENTS; SELECTION; OBLIGATION. 
‘‘(a) STUDENT SELECTION.— 
‘‘(1) IN GENERAL.—Medical, dental, physician 
assistant, pharmacy, behavioral and mental health, 
public health, and nursing students at the Track 
shall be selected under procedures prescribed by the 
Surgeon General. In so prescribing, the Surgeon 
General shall consider the recommendations of the 
National Health Care Workforce Commission. 
‘‘(2) PRIORITY.—In developing admissions pro-
cedures under paragraph (1), the Surgeon General 
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•AMDT. NO. 2786 
‘‘(ii) subject to subparagraph (B), the 
student agrees— 
‘‘(I) to accept the provision of 
such tuition and student stipend to 
the student; 
‘‘(II) to maintain enrollment at 
the Track until the student completes 
the course of study involved; 
‘‘(III) while enrolled in such 
course of study, to maintain an ac-
ceptable level of academic standing 
(as determined by the Surgeon Gen-
eral); 
‘‘(IV) if pursuing a degree from 
a school of medicine or osteopathic 
medicine, dental, public health, or 
nursing school or a physician assist-
ant, pharmacy, or behavioral and 
mental health professional program, 
to complete a residency or internship 
in a specialty that the Surgeon Gen-
eral determines is appropriate; and 
‘‘(V) to serve for a period of time 
(referred to in this part as the ‘period 
of obligated service’) within the Com-
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•AMDT. NO. 2786 
missioned Corps of the Public Health 
Service equal to 2 years for each 
school year during which such indi-
vidual was enrolled at the College, re-
duced as provided for in paragraph 
(3); 
‘‘(B) a provision that any financial obliga-
tion of the United States arising out of a con-
tract entered into under this part and any obli-
gation of the student which is conditioned 
thereon, is contingent upon funds being appro-
priated to carry out this part; 
‘‘(C) a statement of the damages to which 
the United States is entitled for the student’s 
breach of the contract; and 
‘‘(D) such other statements of the rights 
and liabilities of the Secretary and of the indi-
vidual, not inconsistent with the provisions of 
this part. 
‘‘(2) TUITION AND STUDENT STIPEND.— 
‘‘(A) TUITION
REMISSION
RATES.—The 
Surgeon General, based on the recommenda-
tions of the National Health Care Workforce 
Commission, shall establish Federal tuition re-
mission rates to be used by the Track to pro-
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•AMDT. NO. 2786 
vide reimbursement to affiliated and other par-
ticipating health professions institutions for the 
cost of educational services provided by such in-
stitutions to Track students. The agreement en-
tered into by such participating institutions 
under paragraph (1)(A)(i) shall contain an 
agreement to accept as payment in full the es-
tablished remission rate under this subpara-
graph. 
‘‘(B) STIPEND.—The Surgeon General, 
based on the recommendations of the National 
Health Care Workforce Commission, shall es-
tablish and update Federal stipend rates for 
payment to students under this part. 
‘‘(3) REDUCTIONS
IN
THE
PERIOD
OF
OBLI-
GATED
SERVICE.—The period of obligated service 
under paragraph (1)(A)(ii)(V) shall be reduced— 
‘‘(A) in the case of a student who elects to 
participate in a high-needs speciality residency 
(as determined by the National Health Care 
Workforce Commission), by 3 months for each 
year of such participation (not to exceed a total 
of 12 months); and 
‘‘(B) in the case of a student who, upon 
completion of their residency, elects to practice 
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•AMDT. NO. 2786 
in a Federal medical facility (as defined in sec-
tion 781(e)) that is located in a health profes-
sional shortage area (as defined in section 332), 
by 3 months for year of full-time practice in 
such a facility (not to exceed a total of 12 
months). 
‘‘(c) SECOND 2 YEARS OF SERVICE.—During the 
third and fourth years in which a medical, dental, physi-
cian assistant, pharmacy, behavioral and mental health, 
public health, or nursing student is enrolled in the Track, 
training should be designed to prioritize clinical rotations 
in Federal medical facilities in health professional short-
age areas, and emphasize a balance of hospital and com-
munity-based experiences, and training within inter-
disciplinary teams. 
‘‘(d) DENTIST, PHYSICIAN ASSISTANT, PHARMACIST, 
BEHAVIORAL
AND MENTAL HEALTH PROFESSIONAL, 
PUBLIC HEALTH PROFESSIONAL, AND NURSE TRAIN-
ING.—The Surgeon General shall establish provisions ap-
plicable with respect to dental, physician assistant, phar-
macy, behavioral and mental health, public health, and 
nursing students that are comparable to those for medical 
students under this section, including service obligations, 
tuition support, and stipend support. The Surgeon Gen-
eral shall give priority to health professions training insti-
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•AMDT. NO. 2786 
tutions that train medical, dental, physician assistant, 
pharmacy, behavioral and mental health, public health, 
and nursing students for some significant period of time 
together, but at a minimum have a discrete and shared 
core curriculum. 
‘‘(e) ELITE FEDERAL DISASTER TEAMS.—The Sur-
geon General, in consultation with the Secretary, the Di-
rector of the Centers for Disease Control and Prevention, 
and other appropriate military and Federal government 
agencies, shall develop criteria for the appointment of 
highly qualified Track faculty, medical, dental, physician 
assistant, pharmacy, behavioral and mental health, public 
health, and nursing students, and graduates to elite Fed-
eral disaster preparedness teams to train and to respond 
to public health emergencies, natural disasters, bioter-
rorism events, and other emergencies. 
‘‘(f) STUDENT DROPPED FROM TRACK IN AFFILIATE 
SCHOOL.—A medical, dental, physician assistant, phar-
macy, behavioral and mental health, public health, or 
nursing student who, under regulations prescribed by the 
Surgeon General, is dropped from the Track in an affili-
ated school for deficiency in conduct or studies, or for 
other reasons, shall be liable to the United States for all 
tuition and stipend support provided to the student. 
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•AMDT. NO. 2786 
with respect to conditions of Federal financial 
participation, as specified by the Secretary. 
(b) EXPANSION TO MEDICARE PARTS C AND D.— 
Section 1893(h) of the Social Security Act (42 U.S.C. 
1395ddd(h)) is amended— 
(1) in paragraph (1), in the matter preceding 
subparagraph (A), by striking ‘‘part A or B’’ and in-
serting ‘‘this title’’; 
(2) in paragraph (2), by striking ‘‘parts A and 
B’’ and inserting ‘‘this title’’; 
(3) in paragraph (3), by inserting ‘‘(not later 
than December 31, 2010, in the case of contracts re-
lating to payments made under part C or D)’’ after 
‘‘2010’’; 
(4) in paragraph (4), in the matter preceding 
subparagraph (A), by striking ‘‘part A or B’’ and in-
serting ‘‘this title’’; and 
(5) by adding at the end the following: 
‘‘(9) SPECIAL RULES RELATING TO PARTS C 
AND D.—The Secretary shall enter into contracts 
under paragraph (1) to require recovery audit con-
tractors to— 
‘‘(A) ensure that each MA plan under part 
C has an anti- fraud plan in effect and to re-
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