164 
the communities served by each eligible entity 
awarded a grant under this section; 
(F) the effectiveness of the ESL instruc-
tion provided through grants awarded under 
this section in meeting the needs of individuals 
receiving such instruction; and 
(G) an assessment of the need for pro-
grams that integrate job training and ESL in-
struction, to assist individuals with limited 
English proficiency in obtaining better jobs; 
(3) determine the cost and most appropriate 
methods of making ESL instruction available to all 
individuals with limited English proficiency in the 
United States who are seeking instruction; and 
(4) not later than 1 year after the date of en-
actment of this Act, issue a report to Congress 
that— 
(A) assesses the information collected in 
paragraphs (1), (2), and (3) and makes rec-
ommendations on steps that should be taken to 
realize the goal of making ESL instruction 
available to all individuals with limited English 
proficiency in the United States who are seek-
ing instruction; and 
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(B) evaluates the impact of the grant pro-
gram authorized under this section on the ac-
cessibility of, and ability to effectively negotiate, 
the health care system for individuals with lim-
ited English proficiency who have received ESL 
instruction funded by a grant under this sec-
tion. 
(g) AUTHORIZATION
OF APPROPRIATIONS.—There 
are authorized to be appropriated to the Secretary of Edu-
cation $250,000,000 for each of fiscal years 2023 through 
2027 to carry out this section. 
SEC. 2012. IMPLEMENTATION. 
(a) GENERAL PROVISIONS.— 
(1) IMMUNITY.—A person injured by a violation 
of this title (including an amendment made by this 
title) by a State may bring a civil action in the ap-
propriate Federal court for such injury in accord-
ance with this section. 
(2) REMEDIES.—In a civil action under this 
section for a violation of this title, such remedies 
shall be available as would be available in a civil ac-
tion for such violation against any party other than 
a State. 
(b) RULE OF CONSTRUCTION.—Nothing in this title 
may be construed to limit otherwise existing obligations 
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of recipients of Federal financial assistance under title VI 
of the Civil Rights Act of 1964 (42 U.S.C. 2000d et seq.) 
or any other Federal statute. 
SEC. 2013. LANGUAGE ACCESS SERVICES. 
(a) ESSENTIAL BENEFITS.—Section 1302(b)(1) of 
the Patient Protection and Affordable Care Act (42 
U.S.C. 18022(b)(1)) is amended by adding at the end the 
following: 
‘‘(K) Language access services, including 
oral interpretation and written translations.’’. 
(b) EMPLOYER-SPONSORED MINIMUM ESSENTIAL 
COVERAGE.— 
(1) IN GENERAL.—Section 36B(c)(2)(C) of the 
Internal Revenue Code of 1986 is amended by redes-
ignating clauses (iii) and (iv) as clauses (iv) and (v), 
respectively, and by inserting after clause (ii) the fol-
lowing new clause: 
‘‘(iii) COVERAGE MUST INCLUDE LAN-
GUAGE ACCESS AND SERVICES.—Except as 
provided in clause (iv), an employee shall 
not be treated as eligible for minimum es-
sential coverage if such coverage consists 
of an eligible employer-sponsored plan (as 
defined in section 5000A(f)(2)) and the 
plan does not provide coverage for lan-
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guage access services, including oral inter-
pretation and written translations.’’. 
(2) CONFORMING AMENDMENTS.— 
(A) Section 36B(c)(2)(C) of such Code is 
amended by striking ‘‘clause (iii)’’ each place it 
appears in clauses (i) and (ii) and inserting 
‘‘clause (iv)’’. 
(B) Section 36B(c)(2)(C)(iv) of such Code, 
as redesignated by this subsection, is amended 
by striking ‘‘(i) and (ii)’’ and inserting ‘‘(i), (ii), 
and (iii)’’. 
(c) QUALITY REPORTING.—Section 2717(a)(1) of the 
Public Health Service Act (42 U.S.C. 300gg–17(a)(1)) is 
amended— 
(1) by striking ‘‘and’’ at the end of subpara-
graph (C); 
(2) by striking the period at the end of sub-
paragraph (D) and inserting ‘‘; and’’; and 
(3) by adding at the end the following new sub-
paragraph: 
‘‘(E) reduce health disparities through the 
provision of language access services, including 
oral interpretation and written translations.’’. 
(d) REGULATIONS REGARDING INTERNAL CLAIMS 
AND APPEALS AND EXTERNAL REVIEW PROCESSES FOR 
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HEALTH PLANS AND HEALTH INSURANCE ISSUERS.— 
The Secretary of the Treasury, the Secretary of Labor, 
and the Secretary of Health and Human Services shall 
amend the regulations in section 54.9815–2719(e) of title 
26, Code of Federal Regulations, section 2590.715– 
2719(e) of title 29, Code of Federal Regulations, and sec-
tion 147.136(e) of title 45, Code of Federal Regulations 
(or a successor regulation), respectively, to require group 
health plans and health insurance issuers offering group 
or individual health insurance coverage to which such sec-
tions apply— 
(1) to provide oral interpretation services with-
out any threshold requirements; 
(2) to provide in the English versions of all no-
tices a statement prominently displayed in not less 
than 15 non-English languages clearly indicating 
how to access the language services provided by the 
plan or issuer; and 
(3) with respect to the requirements for pro-
viding relevant notices in a culturally and linguis-
tically appropriate manner in the applicable non- 
English languages, to apply a threshold that 5 per-
cent of the population, or not less than 500 individ-
uals, in the county is literate only in the same non- 
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English language in order for the language to be 
considered an applicable non-English language. 
(e) DATA COLLECTION AND REPORTING.—The Sec-
retary of Health and Human Services shall— 
(1) amend the single streamlined application 
form developed pursuant to section 1413 of the Pa-
tient Protection and Affordable Care Act (42 U.S.C. 
18083) to collect the preferred spoken and written 
language for each household member applying for 
coverage under a qualified health plan through an 
Exchange under title I of such Act (42 U.S.C. 
18001 et seq.); 
(2) require navigators, certified application 
counselors, and other individuals assisting with en-
rollment to collect and report requests for language 
assistance; and 
(3) require the toll-free telephone hotlines es-
tablished pursuant to section 1311(d)(4)(B) of the 
Patient Protection and Affordable Care Act (42 
U.S.C. 18031(d)(4)(B)) to submit an annual report 
documenting the number of language assistance re-
quests, the types of languages requested, the range 
and average wait time for a consumer to speak with 
an interpreter, the number of complaints and any 
steps the hotline, and any entity contracting with 
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the Secretary to provide language services, have 
taken to actively address some of the consumer com-
plaints. 
(f) EFFECTIVE DATE.—The amendments made by 
this section shall not apply to plans beginning prior to the 
date of the enactment of this Act. 
SEC. 2014. MEDICALLY UNDERSERVED POPULATIONS. 
Section 330(b)(3) of the Public Health Service Act 
(42 U.S.C. 254b(b)(3)) is amended to read as follows: 
‘‘(3) MEDICALLY
UNDERSERVED.—The term 
‘medically underserved’, with respect to a popu-
lation, refers to— 
‘‘(A) the population of an urban or rural 
area designated by the Secretary as— 
‘‘(i) an area with a shortage of per-
sonal health services; or 
‘‘(ii) a population group having a 
shortage of such services; or 
‘‘(B) a population of individuals, not con-
fined to a particular urban or rural area, who 
are designated by the Secretary as having a 
shortage of personal health services due to a 
specific demographic trait.’’. 
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TITLE III—HEALTH WORKFORCE 
DIVERSITY 
SEC. 3001. AMENDMENT TO THE PUBLIC HEALTH SERVICE 
ACT. 
Title XXXIV of the Public Health Service Act, as 
added by section 2004, is amended by adding at the end 
the following: 
‘‘Subtitle B—Diversifying the 
Health Care Workplace 
‘‘SEC. 3411. NATIONAL WORKING GROUP ON WORKFORCE 
DIVERSITY. 
‘‘(a) IN GENERAL.—The Secretary, acting through 
the Bureau of Health Workforce of the Health Resources 
and Services Administration, shall award a grant to an 
entity determined appropriate by the Secretary for the es-
tablishment of a national working group on workforce di-
versity. 
‘‘(b) REPRESENTATION.—In establishing the national 
working group under subsection (a): 
‘‘(1) The grantee shall ensure that the group 
has representatives of each of the following: 
‘‘(A) The Health Resources and Services 
Administration. 
‘‘(B) The Department of Health and 
Human Services Data Council. 
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‘‘(C) The Office of Minority Health of the 
Department of Health and Human Services. 
‘‘(D) The Substance Abuse and Mental 
Health Services Administration. 
‘‘(E) The Bureau of Labor Statistics of 
the Department of Labor. 
‘‘(F) The National Institute on Minority 
Health and Health Disparities. 
‘‘(G) The Agency for Healthcare Research 
and Quality. 
‘‘(H) The Institute of Medicine Study 
Committee for the 2004 workforce diversity re-
port. 
‘‘(I) The Indian Health Service. 
‘‘(J) The Department of Education. 
‘‘(K) Minority-serving academic institu-
tions. 
‘‘(L) Consumer organizations. 
‘‘(M) Health professional associations, in-
cluding those that represent underrepresented 
minority populations. 
‘‘(N) Researchers in the area of health 
workforce. 
‘‘(O) Health workforce accreditation enti-
ties. 
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‘‘(P) Private (including nonprofit) founda-
tions that have sponsored workforce diversity 
initiatives. 
‘‘(Q) Local and State health departments. 
‘‘(R) Representatives of community mem-
bers to be included on admissions committees 
for health profession schools pursuant to sub-
section (c)(9). 
‘‘(S) National community-based organiza-
tions that serve as a national intermediary to 
their urban affiliate members and have dem-
onstrated capacity to train health care profes-
sionals. 
‘‘(T) The Veterans Health Administration. 
‘‘(U) Other entities determined appropriate 
by the Secretary. 
‘‘(2) The grantee shall ensure that, in addition 
to the representatives under paragraph (1), the 
working group has not less than 5 health professions 
students representing various health profession fields 
and levels of training. 
‘‘(c) ACTIVITIES.—The working group established 
under subsection (a) shall convene at least twice each year 
to complete the following activities: 
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‘‘(1) Review public and private health workforce 
diversity initiatives. 
‘‘(2) Identify successful health workforce diver-
sity programs and practices. 
‘‘(3) Examine challenges relating to the devel-
opment and implementation of health workforce di-
versity initiatives. 
‘‘(4) Draft a national strategic work plan for 
health workforce diversity, including recommenda-
tions for public and private sector initiatives. 
‘‘(5) Develop a framework and methods for the 
evaluation of current and future health workforce di-
versity initiatives. 
‘‘(6) Develop recommended standards for work-
force diversity that could be applicable to all health 
professions programs and programs funded under 
this Act. 
‘‘(7) Develop guidelines to train health profes-
sionals to care for a diverse population. 
‘‘(8) Develop a workforce data collection or 
tracking system to identify where racial and ethnic 
minority health professionals practice. 
‘‘(9) Develop a strategy for the inclusion of 
community members on admissions committees for 
health profession schools. 
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‘‘(10) Help with monitoring and implementation 
of standards for diversity, equity, and inclusion. 
‘‘(11) Other activities determined appropriate 
by the Secretary. 
‘‘(d) ANNUAL REPORT.—Not later than 1 year after 
the establishment of the working group under subsection 
(a), and annually thereafter, the working group shall pre-
pare and make available to the general public for com-
ment, an annual report on the activities of the working 
group. Such report shall include the recommendations of 
the working group for improving health workforce diver-
sity. 
‘‘(e) COORDINATION WITH OTHER EFFORTS.—In 
providing for the establishment of the working group 
under subsection (a), the Secretary shall take such steps 
as may be necessary to ensure that the work of the work-
ing group does not overlap with, or otherwise duplicate, 
other Federal Government efforts with respect to ensuring 
health equity in data collection in public health emer-
gencies. 
‘‘(f) AUTHORIZATION OF APPROPRIATIONS.—There 
are authorized to be appropriated to carry out this section 
such sums as may be necessary for each of fiscal years 
2023 through 2027. 
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‘‘SEC. 3412. TECHNICAL CLEARINGHOUSE FOR HEALTH 
WORKFORCE DIVERSITY. 
‘‘(a) IN GENERAL.—The Secretary, acting through 
the Deputy Assistant Secretary for Minority Health, and 
in collaboration with the Bureau of Health Workforce 
within the Health Resources and Services Administration 
and the National Institute on Minority Health and Health 
Disparities, shall establish a technical clearinghouse on 
health workforce diversity within the Office of Minority 
Health and coordinate current and future clearinghouses 
related to health workforce diversity. 
‘‘(b) INFORMATION AND SERVICES.—The clearing-
house established under subsection (a) shall offer the fol-
lowing information and services: 
‘‘(1) Information on the importance of health 
workforce diversity. 
‘‘(2) Statistical information relating to under-
represented minority representation in health and al-
lied health professions and occupations. 
‘‘(3) Model health workforce diversity practices 
and programs, including integrated models of care. 
‘‘(4) Admissions policies that promote health 
workforce diversity and are in compliance with Fed-
eral and State laws. 
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‘‘(5) Retainment policies that promote comple-
tion of health profession degrees for underserved 
populations. 
‘‘(6) Lists of scholarship, loan repayment, and 
loan cancellation grants as well as fellowship infor-
mation for underserved populations for health pro-
fessions schools. 
‘‘(7) Foundation and other large organizational 
initiatives relating to health workforce diversity. 
‘‘(c) CONSULTATION.—In carrying out this section, 
the Secretary shall consult with non-Federal entities which 
may include minority health professional associations and 
minority sections of major health professional associations 
to ensure the adequacy and accuracy of information. 
‘‘(d) AUTHORIZATION OF APPROPRIATIONS.—There 
are authorized to be appropriated to carry out this section 
such sums as may be necessary for each of fiscal years 
2023 through 2027. 
‘‘SEC. 3413. SUPPORT FOR INSTITUTIONS COMMITTED TO 
WORKFORCE DIVERSITY, EQUITY, AND IN-
CLUSION. 
‘‘(a) IN GENERAL.—The Secretary, acting through 
the Administrator of the Health Resources and Services 
Administration and the Director of the Centers for Dis-
ease Control and Prevention, shall award grants to eligible 
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178 
entities that demonstrate a commitment to health work-
force diversity. 
‘‘(b) ELIGIBILITY.—To be eligible to receive a grant 
under subsection (a), an entity shall— 
‘‘(1) be an educational institution or entity that 
historically produces or trains meaningful numbers 
of underrepresented minority health professionals, 
including— 
‘‘(A) part B institutions, as defined in sec-
tion 322 of the Higher Education Act of 1965; 
‘‘(B) historically Black professional or 
graduate institutions eligible for grants under 
section 326 of the Higher Education Act of 
1965; 
‘‘(C) Hispanic-serving health professions 
schools; 
‘‘(D) Hispanic-serving institutions, as de-
fined in section 502 of such Act; 
‘‘(E) Tribal Colleges or Universities, as de-
fined in section 316 of such Act; 
‘‘(F) Asian American and Native American 
Pacific Islander-serving institutions, as defined 
in section 371(c) of such Act; 
‘‘(G) institutions that have programs to re-
cruit and retain underrepresented minority 
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179 
health professionals, in which a significant 
number of the enrolled participants are under-
represented minorities; 
‘‘(H) 
health 
professional 
associations, 
which may include underrepresented minority 
health professional associations; and 
‘‘(I) institutions, including national and re-
gional community-based organizations with 
demonstrated commitment to a diversified 
workforce— 
‘‘(i) located in communities with pre-
dominantly underrepresented minority pop-
ulations; 
‘‘(ii) with whom partnerships have 
been formed for the purpose of increasing 
workforce diversity; and 
‘‘(iii) in which at least 20 percent of 
the enrolled participants are underrep-
resented minorities; and 
‘‘(2) 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 under subsection (a) shall be used to expand existing 
workforce diversity programs, implement new workforce 
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diversity programs, or evaluate existing or new workforce 
diversity programs, including with respect to mental 
health care professions. Such programs shall enhance di-
versity by considering minority status as part of an indi-
vidualized consideration of qualifications. Possible activi-
ties may include— 
‘‘(1) educational outreach programs relating to 
opportunities in the health professions; 
‘‘(2) scholarship, fellowship, grant, loan repay-
ment, and loan cancellation programs; 
‘‘(3) postbaccalaureate programs; 
‘‘(4) academic enrichment programs, particu-
larly targeting those who would not be competitive 
for health professions schools; 
‘‘(5) supporting workforce diversity in kinder-
garten through 12th grade and other health pipeline 
programs; 
‘‘(6) mentoring programs; 
‘‘(7) internship or rotation programs involving 
hospitals, health systems, health plans, and other 
health entities; 
‘‘(8) community partnership development for 
purposes relating to workforce diversity; or 
‘‘(9) leadership training. 
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181 
‘‘(d) REPORTS.—Not later than 1 year after receiving 
a grant under this section, and annually for the term of 
the grant, a grantee shall submit to the Secretary a report 
that summarizes and evaluates all activities conducted 
under the grant. 
‘‘(e) AUTHORIZATION OF APPROPRIATIONS.—There 
are authorized to be appropriated to carry out this section 
such sums as may be necessary for each of fiscal years 
2023 through 2027. 
‘‘SEC. 3414. CAREER DEVELOPMENT FOR SCIENTISTS AND 
RESEARCHERS. 
‘‘(a) IN GENERAL.—The Secretary, acting through 
the Director of the National Institutes of Health, the Di-
rector of the Centers for Disease Control and Prevention, 
the Commissioner of Food and Drugs, the Director of the 
Agency for Healthcare Research and Quality, and the Ad-
ministrator of the Health Resources and Services Admin-
istration, shall award grants that expand existing opportu-
nities for scientists and researchers and promote the inclu-
sion of underrepresented minorities in the health profes-
sions. 
‘‘(b) RESEARCH FUNDING.—The head of each agency 
listed in subsection (a) shall establish or expand existing 
programs to provide research funding to scientists and re-
searchers in training. Under such programs, the head of 
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each such entity shall give priority in allocating research 
funding to support health research in traditionally under-
served communities, including underrepresented minority 
communities, and research classified as community or 
participatory. 
‘‘(c) DATA COLLECTION.—The head of each agency 
listed in subsection (a) shall collect data on the number 
(expressed as an absolute number and a percentage) of 
underrepresented minority and nonminority applicants 
who receive and are denied agency funding at every stage 
of review. Such data shall be reported annually to the Sec-
retary and the appropriate committees of Congress. 
‘‘(d) STUDENT LOAN REIMBURSEMENT.—The Sec-
retary shall establish a student loan reimbursement pro-
gram to provide student loan reimbursement assistance to 
researchers who focus on racial and ethnic disparities in 
health. The Secretary shall promulgate regulations to de-
fine the scope and procedures for the program under this 
subsection. 
‘‘(e) STUDENT LOAN CANCELLATION.—The Sec-
retary shall establish a student loan cancellation program 
to provide student loan cancellation assistance to research-
ers who focus on racial and ethnic disparities in health. 
Students participating in the program shall make a min-
imum 5-year commitment to work at an accredited health 
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profession school. The Secretary shall promulgate addi-
tional regulations to define the scope and procedures for 
the program under this subsection. 
‘‘(f) AUTHORIZATION OF APPROPRIATIONS.—There 
are authorized to be appropriated to carry out this section 
such sums as may be necessary for each of fiscal years 
2023 through 2027. 
‘‘SEC. 3415. CAREER SUPPORT FOR NONRESEARCH HEALTH 
PROFESSIONALS. 
‘‘(a) IN GENERAL.—The Secretary, acting through 
the Director of the Centers for Disease Control and Pre-
vention, the Assistant Secretary for Mental Health and 
Substance Use, the Administrator of the Health Resources 
and Services Administration, and the Administrator of the 
Centers for Medicare & Medicaid Services, shall establish 
a program to award grants to universities and other insti-
tutions to enter into agreements with eligible individuals 
under which— 
‘‘(1) the university or institution supports the 
eligible individual’s career in a nonresearch-related 
health and wellness profession; and 
‘‘(2) the eligible individual commits to per-
forming a period of obligated service in such a ca-
reer to serve, or to work on health issues affecting, 
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underserved communities, such as racial and ethnic 
minority communities. 
‘‘(b) ELIGIBLE INDIVIDUALS.—To be an eligible indi-
vidual for purposes of subsection (a), an individual shall 
be a student in a health professions school, a graduate 
of such a school who is working in a health profession, 
an individual working in a health or wellness profession 
(including mental and behavioral health), or a faculty 
member of such a school. 
‘‘(c) APPLICATION.—To seek a grant under this sec-
tion, a university or other institution shall submit to the 
Secretary an application at such time, in such manner, 
and containing such information as the Secretary may re-
quire. 
‘‘(d) USE OF FUNDS.—A university or other institu-
tion receiving a grant under this section shall use the 
grant for agreements described in subsection (a). Such 
agreements may— 
‘‘(1) support an eligible individual’s health ac-
tivities or projects that involve underserved commu-
nities, including racial and ethnic minority commu-
nities; 
‘‘(2) support an eligible individual’s health-re-
lated career advancement activities; 
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‘‘(3) pay, or reimburse for payment of, student 
loans or training or credentialing costs for eligible 
individuals who are health professionals and are fo-
cused on health issues affecting underserved commu-
nities, including racial and ethnic minority commu-
nities; and 
‘‘(4) establish and promote leadership training 
programs for eligible individuals to decrease health 
disparities and to increase cultural competence with 
the goal of increasing diversity in leadership posi-
tions. 
‘‘(e) DEFINITION.—In this section, the term ‘career 
in a nonresearch-related health and wellness profession’ 
means employment or intended employment in the field 
of public health, health policy, health management, health 
administration, medicine, nursing, pharmacy, psychology, 
social work, psychiatry, other mental and behavioral 
health, allied health, community health, social work, or 
other fields determined appropriate by the Secretary, 
other than in a position that involves research. 
‘‘(f) AUTHORIZATION OF APPROPRIATIONS.—There 
are authorized to be appropriated to carry out this section 
such sums as may be necessary for each of fiscal years 
2023 through 2027. 
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‘‘SEC. 3416. RESEARCH ON THE EFFECT OF WORKFORCE DI-
VERSITY ON QUALITY. 
‘‘(a) IN GENERAL.—The Director of the Agency for 
Healthcare Research and Quality (in this section referred 
to as the ‘Director’), in collaboration with the Deputy As-
sistant Secretary for Minority Health and the Director of 
the National Institute on Minority Health and Health Dis-
parities, shall award grants to eligible entities to expand 
research on the link between health workforce diversity 
and quality health care. 
‘‘(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 research entity or other entity determined ap-
propriate by the Director; and 
‘‘(2) 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 research that investigates the effect of health work-
force diversity on— 
‘‘(1) language access; 
‘‘(2) cultural competence; 
‘‘(3) patient satisfaction; 
‘‘(4) timeliness of care; 
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‘‘(5) safety of care; 
‘‘(6) effectiveness of care; 
‘‘(7) efficiency of care; 
‘‘(8) patient outcomes; 
‘‘(9) community engagement; 
‘‘(10) resource allocation; 
‘‘(11) organizational structure; 
‘‘(12) compliance of care; or 
‘‘(13) other topics determined appropriate by 
the Director. 
‘‘(d) PRIORITY.—In awarding grants under sub-
section (a), the Director shall give individualized consider-
ation to all relevant aspects of the applicant’s background. 
Consideration of prior research experience involving the 
health of underserved communities shall be such a factor. 
‘‘(e) AUTHORIZATION OF APPROPRIATIONS.—There 
are authorized to be appropriated to carry out this section 
such sums as may be necessary for each of fiscal years 
2023 through 2027. 
‘‘SEC. 3417. HEALTH DISPARITIES EDUCATION PROGRAM. 
‘‘(a) 
ESTABLISHMENT.—The 
Secretary, 
acting 
through the Office of Minority Health, in collaboration 
with the National Institute on Minority Health and Health 
Disparities, the Office for Civil Rights, the Centers for 
Disease Control and Prevention, the Centers for Medicare 
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& Medicaid Services, the Health Resources and Services 
Administration, and other appropriate public and private 
entities, shall establish and coordinate a health and health 
care disparities education program to support, develop, 
and implement educational initiatives and outreach strate-
gies that inform health care professionals and the public 
about the existence of and methods to reduce racial and 
ethnic disparities in health and health care. 
‘‘(b) ACTIVITIES.—The Secretary, through the edu-
cation program established under subsection (a), shall, 
through the use of public awareness and outreach cam-
paigns targeting the general public and the medical com-
munity at large— 
‘‘(1) disseminate scientific evidence for the ex-
istence and extent of racial and ethnic disparities in 
health care, including disparities that are not other-
wise attributable to known factors such as access to 
care, patient preferences, or appropriateness of 
intervention, as described in the 2002 Institute of 
Medicine Report entitled ‘Unequal Treatment: Con-
fronting Racial and Ethnic Disparities in Health 
Care’, as well as the impact of disparities related to 
age, disability status, socioeconomic status, sex, gen-
der identity, and sexual orientation on racial and 
ethnic minorities; 
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‘‘(2) disseminate new research findings to 
health care providers and patients to assist them in 
understanding, reducing, and eliminating health and 
health care disparities; 
‘‘(3) disseminate information about the impact 
of linguistic and cultural barriers on health care 
quality and the obligation of health providers who 
receive Federal financial assistance to ensure that 
individuals with limited English proficiency have ac-
cess to language access services; 
‘‘(4) disseminate information about the impor-
tance and legality of racial, ethnic, disability status, 
socioeconomic status, sex, gender identity, and sex-
ual orientation, and primary language data collec-
tion, analysis, and reporting; 
‘‘(5) design and implement specific educational 
initiatives to health care providers relating to health 
and health care disparities; 
‘‘(6) assess the impact of the programs estab-
lished under this section in raising awareness of 
health and health care disparities and providing in-
formation on available resources; and 
‘‘(7) design and implement specific educational 
initiatives to educate the health care workforce relat-
ing to unconscious bias. 
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‘‘(c) AUTHORIZATION OF APPROPRIATIONS.—There 
are authorized to be appropriated to carry out this section 
such sums as may be necessary for each of fiscal years 
2023 through 2027.’’. 
SEC. 3002. HISPANIC-SERVING INSTITUTIONS, HISTORI-
CALLY BLACK COLLEGES AND UNIVERSITIES, 
HISTORICALLY BLACK PROFESSIONAL OR 
GRADUATE INSTITUTIONS, ASIAN AMERICAN 
AND NATIVE AMERICAN PACIFIC ISLANDER- 
SERVING INSTITUTIONS, TRIBAL COLLEGES, 
REGIONAL 
COMMUNITY-BASED 
ORGANIZA-
TIONS, AND NATIONAL MINORITY MEDICAL 
ASSOCIATIONS. 
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. HISPANIC-SERVING INSTITUTIONS, HISTORI-
CALLY BLACK COLLEGES AND UNIVERSITIES, 
HISTORICALLY BLACK PROFESSIONAL OR 
GRADUATE INSTITUTIONS, ASIAN AMERICAN 
AND NATIVE AMERICAN PACIFIC ISLANDER- 
SERVING INSTITUTIONS, AND TRIBAL COL-
LEGES. 
‘‘(a) IN GENERAL.—The Secretary, acting through 
the Administrator of the Health Resources and Services 
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term ‘Asian American and Native American Pacific 
Islander-serving institution’ has the meaning given 
such term in section 320(b) of the Higher Education 
Act of 1965. 
‘‘(2) 
HISPANIC-SERVING
INSTITUTION.—The 
term ‘Hispanic-serving institution’ means an entity 
that— 
‘‘(A) is a school or program for which 
there is a definition 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; 
‘‘(E) has a significant number of graduates 
who are providing health services to medically 
underserved populations or to individuals in 
health professional shortage areas; and 
‘‘(F) is a Hispanic Center of Excellence in 
Health Professions Education designated under 
section 736(d)(2) of the Public Health Service 
Act (42 U.S.C. 293(d)(2)). 
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‘‘(3) HISTORICALLY BLACK COLLEGE AND UNI-
VERSITY.—The term ‘historically Black college and 
university’ has the meaning given the term ‘part B 
institution’ as defined in section 322 of the Higher 
Education Act of 1965. 
‘‘(4) TRIBAL COLLEGE OR UNIVERSITY.—The 
term ‘Tribal College or University’ has the meaning 
given such term in section 316(b) of the Higher 
Education Act of 1965. 
‘‘(c) CERTAIN LOAN REPAYMENT PROGRAMS.—In 
carrying out the National Health Service Corps Loan Re-
payment Program established under subpart III of part 
D of title III and the loan repayment program under sec-
tion 317F, the Secretary shall ensure, notwithstanding 
such subpart or section, that loan repayments of not less 
than $50,000 per year per person are awarded for repay-
ment of loans incurred for enrollment or participation of 
underrepresented minority individuals in health profes-
sional schools and other health programs described in this 
section. 
‘‘(d) AUTHORIZATION OF APPROPRIATIONS.—There 
are authorized to be appropriated to carry out this section 
such sums as may be necessary for each of fiscal years 
2023 through 2027.’’. 
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SEC. 3003. LOAN REPAYMENT PROGRAM OF CENTERS FOR 
DISEASE CONTROL AND PREVENTION. 
Section 317F(c)(1) of the Public Health Service Act 
(42 U.S.C. 247b–7(c)(1)) is amended by striking 
‘‘$500,000 for fiscal year 1994, and such sums as may 
be necessary for each of the fiscal years 1995 through 
2002’’ and inserting ‘‘such sums as may be necessary for 
each of fiscal years 2023 through 2027’’. 
SEC. 3004. ALLIED HEALTH WORKFORCE DIVERSITY. 
(a) INCREASING WORKFORCE DIVERSITY
IN
THE 
PROFESSIONS OF PHYSICAL THERAPY, OCCUPATIONAL 
THERAPY, RESPIRATORY THERAPY, AUDIOLOGY, AND 
SPEECH-LANGUAGE PATHOLOGY.—Title VII of the Public 
Health Service Act is amended— 
(1) by redesignating part G (42 U.S.C. 295j et 
seq.) as part H; and 
(2) by inserting after part F (42 U.S.C. 295h) 
the following new part: 
‘‘PART G—INCREASING WORKFORCE DIVERSITY 
IN THE PROFESSIONS OF PHYSICAL THER-
APY, 
OCCUPATIONAL 
THERAPY, 
RES-
PIRATORY 
THERAPY, 
AUDIOLOGY, 
AND 
SPEECH-LANGUAGE PATHOLOGY 
‘‘SEC. 783. SCHOLARSHIPS AND STIPENDS. 
‘‘(a) IN GENERAL.—The Secretary may award grants 
and contracts to eligible entities to increase educational 
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opportunities in the professions of physical therapy, occu-
pational therapy, respiratory therapy, audiology, and 
speech-language pathology for eligible individuals by— 
‘‘(1) providing student scholarships or stipends, 
including for— 
‘‘(A) completion of an accelerated degree 
program; 
‘‘(B) completion of an associate’s, bach-
elor’s, master’s, or doctoral degree program; 
and 
‘‘(C) entry by a diploma or associate’s de-
gree practitioner into a bridge or degree com-
pletion program; 
‘‘(2) providing assistance for completion of pre-
requisite courses or other preparation necessary for 
acceptance for enrollment in the eligible entity; and 
‘‘(3) carrying out activities to increase the re-
tention of students in one or more programs in the 
professions of physical therapy, occupational ther-
apy, respiratory therapy, audiology, and speech-lan-
guage pathology. 
‘‘(b) CONSIDERATION OF RECOMMENDATIONS.—In 
carrying out subsection (a), the Secretary shall take into 
consideration the recommendations of national organiza-
tions representing the professions of physical therapy, oc-
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cupational therapy, respiratory therapy, audiology, and 
speech-language pathology, including the American Phys-
ical Therapy Association, the American Occupational 
Therapy Association, the American Speech-Language- 
Hearing Association, the American Association for Res-
piratory Care, the American Academy of Audiology, and 
the Academy of Doctors of Audiology. 
‘‘(c) REQUIRED INFORMATION AND CONDITIONS FOR 
AWARD RECIPIENTS.— 
‘‘(1) IN GENERAL.—The Secretary may require 
recipients of awards under this section to report to 
the Secretary concerning the annual admission, re-
tention, and graduation rates for eligible individuals 
in programs of the recipient leading to a degree in 
any of the professions of physical therapy, occupa-
tional therapy, respiratory therapy, audiology, and 
speech-language pathology. 
‘‘(2) FALLING RATES.—If any of the rates re-
ported by a recipient under paragraph (1) fall below 
the average for such recipient over the two years 
preceding the year covered by the report, the recipi-
ent shall provide the Secretary with plans for imme-
diately improving such rates. 
‘‘(3) INELIGIBILITY.—A recipient described in 
paragraph (2) shall be ineligible for continued fund-
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ing under this section if the plan of the recipient 
fails to improve the rates within the 1-year period 
beginning on the date such plan is implemented. 
‘‘(d) DEFINITIONS.—In this section: 
‘‘(1) ELIGIBLE ENTITIES.—The term ‘eligible 
entity’ means an accredited education program that 
is carrying out a program for recruiting and retain-
ing students underrepresented in the professions of 
physical therapy, occupational therapy, respiratory 
therapy, audiology, and speech-language pathology 
(including racial or ethnic minorities, or students 
from disadvantaged backgrounds). 
‘‘(2) ELIGIBLE INDIVIDUAL.—The term ‘eligible 
individual’ means an individual who— 
‘‘(A) is a member of a class of persons who 
are underrepresented in the professions of phys-
ical therapy, occupational therapy, respiratory 
therapy, audiology, and speech-language pathol-
ogy, including individuals who are— 
‘‘(i) racial or ethnic minorities; 
‘‘(ii) from disadvantaged backgrounds; 
or 
‘‘(iii) individuals with a disability (as 
defined in section 3(1) of the Americans 
with Disabilities Act of 1990), or who have 
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an individualized education program (as 
defined in section 602 of the Individuals 
with Disabilities Education Act), are cov-
ered under section 504 of the Rehabilita-
tion Act of 1973, or have other documenta-
tion establishing the student’s disability 
(as such term is defined in section 3(1) of 
the Americans with Disabilities Act of 
1990); 
‘‘(B) has a financial need for a scholarship 
or stipend; and 
‘‘(C) is enrolled (or accepted for enroll-
ment) at an audiology, speech-language pathol-
ogy, respiratory therapy, physical therapy, or 
occupational therapy program as a full-time 
student at an eligible entity. 
‘‘(e) AUTHORIZATION OF APPROPRIATIONS.—There 
is authorized to be appropriated to carry out this section 
$8,000,000 for the first fiscal year commencing after the 
date of enactment of the Health Equity and Accountability 
Act of 2022 and each of the 4 succeeding fiscal years.’’. 
(b) ELIGIBILITY CLARIFICATION REGARDING STU-
DENTS SUPPORTED THROUGH MENTAL
AND BEHAV-
IORAL HEALTH EDUCATION AND TRAINING GRANTS.— 
Section 756(a)(1) of the Public Health Service Act (42 
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U.S.C. 294e–1(a)(1)) is amended by inserting after ‘‘occu-
pational therapy’’ the following: ‘‘(which may include mas-
ter’s and doctoral level programs)’’. 
SEC. 3005. COOPERATIVE AGREEMENTS FOR ONLINE DE-
GREE PROGRAMS AT SCHOOLS OF PUBLIC 
HEALTH AND SCHOOLS OF ALLIED HEALTH. 
Part B of title VII of the Public Health Service Act 
(42 U.S.C. 293 et seq.) is amended by inserting after sec-
tion 755 of such Act (42 U.S.C. 294e) the following: 
‘‘SEC. 755A. COOPERATIVE AGREEMENTS FOR ONLINE DE-
GREE PROGRAMS. 
‘‘(a) COOPERATIVE AGREEMENTS.—The Secretary, 
acting through the Administrator of the Health Resources 
and Services Administration, in consultation with the Di-
rector of the Centers for Disease Control and Prevention, 
the Director of the Agency for Healthcare Research and 
Quality, and the Deputy Assistant Secretary for Minority 
Health, shall enter into cooperative agreements with 
schools of public health and schools of allied health to de-
sign and implement online degree programs. 
‘‘(b) PRIORITY.—In entering into cooperative agree-
ments under this section, the Secretary shall give priority 
to any school of public health or school of allied health 
that has an established track record of serving medically 
underserved communities. 
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200 
‘‘(c) REQUIREMENTS.—As a condition of entering 
into a cooperative agreement with the Secretary under this 
section, a school of public health or school of allied health 
shall agree to design and implement an online degree pro-
gram that meets the following restrictions: 
‘‘(1) Enrollment of individuals who have ob-
tained a secondary school diploma or its recognized 
equivalent. 
‘‘(2) Maintaining a significant enrollment of 
underrepresented minority or disadvantaged stu-
dents. 
‘‘(3) Achieving a high completion rate of en-
rolled underrepresented minority or disadvantaged 
students. 
‘‘(d) PERIOD OF COOPERATIVE AGREEMENTS.—The 
period during which payments are made through a cooper-
ative agreement entered into under this section may not 
exceed 3 years. 
‘‘(e) AUTHORIZATION OF APPROPRIATIONS.—There 
are authorized to be appropriated to carry out this section 
such sums as may be necessary for each of fiscal years 
2023 through 2027.’’. 
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201 
SEC. 3006. NATIONAL HEALTH CARE WORKFORCE COMMIS-
SION. 
(a) SENSE OF CONGRESS.—It is the sense of Con-
gress that the National Health Care Workforce Commis-
sion established by section 5101 of the Patient Protection 
and Affordable Care Act (42 U.S.C. 294q) should, in car-
rying out its assigned duties under that section, give at-
tention to the needs of racial and ethnic minorities, indi-
viduals with lower socioeconomic status, individuals with 
mental, developmental, and physical disabilities, lesbian, 
gay, bisexual, transgender, queer, and questioning popu-
lations, and individuals who are members of multiple mi-
nority or special population groups. 
(b) REAUTHORIZATION.—Section 5101(h)(2) of the 
Patient Protection and Affordable Care Act (42 U.S.C. 
294q(h)(2)) is amended by striking ‘‘such sums as may 
be necessary’’ and inserting ‘‘$3,000,000 for each of fiscal 
years 2023 through 2025’’. 
SEC. 3007. SCHOLARSHIP AND FELLOWSHIP PROGRAMS. 
Subtitle B of title XXXIV of the Public Health Serv-
ice Act, as added by section 3001, is further amended by 
inserting after section 3417 the following: 
‘‘SEC. 3418. DAVID SATCHER PUBLIC HEALTH AND HEALTH 
SERVICES CORPS. 
‘‘(a) IN GENERAL.—The Director of the Centers for 
Disease Control and Prevention, in collaboration with the 
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Administrator of the Health Resources and Services Ad-
ministration and the Deputy Assistant Secretary for Mi-
nority Health, shall award grants to eligible entities to in-
crease awareness among secondary and postsecondary stu-
dents of career opportunities in the health professions. 
‘‘(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 or nonprofit en-
tity, or other entity determined appropriate by the 
Director of the Centers for Disease Control and Pre-
vention; 
‘‘(2) serve a health professional shortage area, 
as determined by the Secretary; 
‘‘(3) work with students, including those from 
racial and ethnic minority backgrounds, that have 
expressed an interest 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.—Grant awards under sub-
section (a) shall be used to support internships that will 
increase awareness among students of non-research-based, 
career opportunities in the following health professions: 
‘‘(1) Medicine. 
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‘‘(2) Nursing. 
‘‘(3) Public health. 
‘‘(4) Pharmacy. 
‘‘(5) Health administration and management. 
‘‘(6) Health policy. 
‘‘(7) Psychology. 
‘‘(8) Dentistry. 
‘‘(9) International health. 
‘‘(10) Social work. 
‘‘(11) Allied health. 
‘‘(12) Psychiatry. 
‘‘(13) Hospice care. 
‘‘(14) Community health, patient navigation, 
and peer support. 
‘‘(15) Other professions determined appropriate 
by the Director of the Centers for Disease Control 
and Prevention. 
‘‘(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 entities 
that— 
‘‘(1) serve a high proportion of individuals from 
disadvantaged backgrounds; 
‘‘(2) have experience in health disparity elimi-
nation programs; 
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‘‘(3) facilitate the entry of disadvantaged indi-
viduals into institutions of higher education; and 
‘‘(4) provide counseling or other services de-
signed to assist disadvantaged individuals in success-
fully completing their education at the postsecondary 
level. 
‘‘(e) STIPENDS.— 
‘‘(1) IN GENERAL.—Subject to paragraph (2), 
an entity receiving a grant under this section may 
use the funds made available through such grant to 
award stipends for educational and living expenses 
to students participating in the internship supported 
by the grant. 
‘‘(2) LIMITATIONS.—A stipend awarded under 
paragraph (1) to an individual— 
‘‘(A) may not be provided for a period that 
exceeds 6 months; and 
‘‘(B) may not exceed $20 per day for an 
individual (notwithstanding any other provision 
of law regarding the amount of a stipend). 
‘‘(f) AUTHORIZATION OF APPROPRIATIONS.—There 
are authorized to be appropriated to carry out this section 
such sums as may be necessary for each of fiscal years 
2023 through 2027. 
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‘‘SEC. 3419. LOUIS STOKES PUBLIC HEALTH SCHOLARS 
PROGRAM. 
‘‘(a) IN GENERAL.—The Director of the Centers for 
Disease Control and Prevention, in collaboration with the 
Deputy Assistant Secretary for Minority Health, shall 
award scholarships to eligible individuals under subsection 
(b) who seek a career in public health. 
‘‘(b) ELIGIBILITY.—To be eligible to receive a schol-
arship under subsection (a), an individual shall— 
‘‘(1) have interest, knowledge, or skill in public 
health research or public health practice, or other 
health professions as determined appropriate by the 
Director of the Centers for Disease Control and Pre-
vention; 
‘‘(2) reside in a health professional shortage 
area as determined by the Secretary; 
‘‘(3) demonstrate promise for becoming a leader 
in public health; 
‘‘(4) secure admission to a 4-year institution of 
higher education; and 
‘‘(5) 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 public health professionals. 
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‘‘(d) PRIORITY.—In awarding grants under sub-
section (a), the Director shall give priority to those stu-
dents that— 
‘‘(1) are from disadvantaged backgrounds; 
‘‘(2) have secured admissions to a minority- 
serving institution; and 
‘‘(3) have identified a health professional as a 
mentor at their school or institution and an aca-
demic advisor to assist in the completion of their 
baccalaureate degree. 
‘‘(e) SCHOLARSHIPS.—The Secretary may approve 
payment of scholarships under this section for such indi-
viduals for any period of education in student under-
graduate tenure, except that such a scholarship may not 
be provided to an individual for more than 4 years, and 
such a scholarship may not exceed $10,000 per academic 
year for an individual (notwithstanding any other provi-
sion of law regarding the amount of a scholarship). 
‘‘(f) AUTHORIZATION OF APPROPRIATIONS.—There 
are authorized to be appropriated to carry out this section 
such sums as may be necessary for each of fiscal years 
2023 through 2027. 
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‘‘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 As-
sistant Secretary for Mental Health and Substance Use, 
and the Director of the Indian Health Service, shall award 
research fellowships to eligible individuals under sub-
section (b) to conduct research that will examine 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 designated by the Secretary under section 332; 
‘‘(3) have expressed an interest in the health 
professions; 
‘‘(4) demonstrate promise for becoming a leader 
in the field of women’s sexual and reproductive 
health, including family planning; 
‘‘(5) secure admission to a health professions 
school or graduate program with an emphasis in 
gender studies; and 
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‘‘(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.—A fellowship awarded under 
subsection (a) to an eligible individual shall be used to 
support an opportunity for the individual to become a re-
searcher and advance the research base on the intersection 
between gender and health. 
‘‘(d) PRIORITY.—In awarding fellowships 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-
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 for an 
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individual (notwithstanding any other provision of law re-
garding the amount of a fellowship). 
‘‘(f) AUTHORIZATION OF APPROPRIATIONS.—There 
are authorized to be appropriated to carry out this section 
such sums as may be necessary for each of fiscal years 
2023 through 2027. 
‘‘SEC. 3421. 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 eligible individuals under 
subsection (b) to advance their understanding of inter-
national 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; 
‘‘(3) demonstrate promise for becoming a leader 
in the field of international health; 
‘‘(4) be a college senior or recent graduate of 
a 4-year institution of higher education; and 
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‘‘(5) 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.—A fellowship awarded under 
subsection (a) to an eligible individual shall be used to 
support an opportunity for the individual to become a 
health professional and to advance the knowledge of the 
individual about international issues relating to health 
care access and quality. 
‘‘(d) PRIORITY.—In awarding fellowships under sub-
section (a), the Director shall give priority to eligible indi-
viduals 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 
access and quality for residents in developing coun-
tries. 
‘‘(e) FELLOWSHIPS.—A fellowship awarded under 
this section may not— 
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211 
‘‘(1) be provided to an eligible individual for 
more than a period of 6 months; 
‘‘(2) be awarded to a graduate of a 4-year insti-
tution of higher education that has not been enrolled 
in such institution for more than 1 year; or 
‘‘(3) exceed $4,000 per academic year (notwith-
standing any other provision of law regarding the 
amount of a fellowship). 
‘‘(f) AUTHORIZATION OF APPROPRIATIONS.—There 
are authorized to be appropriated to carry out this section 
such sums as may be necessary for each of fiscal years 
2023 through 2027. 
‘‘SEC. 3422. EDWARD R. ROYBAL HEALTH SCHOLAR PRO-
GRAM. 
‘‘(a) IN GENERAL.—The Director of the Agency for 
Healthcare Research and Quality, the Administrator of 
the Centers for Medicare & Medicaid Services, and the Ad-
ministrator of the Health Resources and Services Admin-
istration, in collaboration with the Deputy Assistant Sec-
retary for Minority Health, shall award grants to eligible 
entities to expose entering graduate students to the health 
professions. 
‘‘(b) ELIGIBILITY.—To be eligible to receive a grant 
under subsection (a), an entity shall— 
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212 
‘‘(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 designated by the Secretary under section 332; 
‘‘(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-
search and Quality, the Administrator of the Centers 
for Medicare & Medicaid Services, or the Adminis-
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213 
trator of the Health Resources and Services Admin-
istration. 
‘‘(d) PRIORITY.—In awarding grants under sub-
section (a), the Director of the Agency for Healthcare Re-
search and Quality, the Administrator of the Centers for 
Medicare & Medicaid Services, and the Administrator of 
the Health Resources and Services Administration, in col-
laboration with the Deputy Assistant Secretary for Minor-
ity Health, shall give priority to 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 students in successfully completing 
their education at the postsecondary level. 
‘‘(e) STIPENDS.— 
‘‘(1) IN GENERAL.—Subject to paragraph (2), 
an entity receiving a grant under this section may 
use the funds made available through such grant to 
award stipends for educational and living expenses 
to students participating in the opportunities sup-
ported by the grant. 
‘‘(2) LIMITATIONS.—A stipend awarded under 
paragraph (1) to an individual— 
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214 
‘‘(A) may not be provided for a period that 
exceeds 2 months; and 
‘‘(B) may not exceed $100 per day (not-
withstanding any other provision of law regard-
ing the amount of a stipend). 
‘‘(f) AUTHORIZATION OF APPROPRIATIONS.—There 
are authorized to be appropriated to carry out this section 
such sums as may be necessary for each of fiscal years 
2023 through 2027. 
‘‘SEC. 3423. LEADERSHIP FELLOWSHIP PROGRAMS. 
‘‘(a) IN
GENERAL.—The Secretary shall award 
grants to national minority medical or health professional 
associations to develop leadership fellowship programs for 
underrepresented health professionals in order to— 
‘‘(1) assist such professionals in becoming fu-
ture leaders in public health and health care delivery 
institutions; and 
‘‘(2) increase diversity in decision-making posi-
tions that can improve the health of underserved 
communities. 
‘‘(b) USE OF FUNDS.—A leadership fellowship pro-
gram supported under this section shall— 
‘‘(1) focus on training mid-career physicians 
and health care executives who have documented 
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215 
leadership experience and a commitment to public 
health services in underserved communities; and 
‘‘(2) support Federal public health policy and 
budget programs, and priorities that impact health 
equity, through activities such as didactic lectures 
and leader site visits. 
‘‘(c) PERIOD OF GRANTS.—The period during which 
payments are made under a grant awarded under sub-
section (a) may not exceed 3 years. 
‘‘(d) AUTHORIZATION OF APPROPRIATIONS.—There 
are authorized to be appropriated to carry out this section 
such sums as may be necessary for each of fiscal years 
2023 through 2027.’’. 
SEC. 3008. 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-
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216 
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 that is not less 
than $31,000,000 for each of the fiscal years 2023 
through 2027.’’. 
SEC. 3009. 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)), as 
amended by section 2006(a), 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 
(M), such rules’’; 
(2) in subparagraph (J), by striking ‘‘Such 
rules’’ and inserting ‘‘Subject to subparagraph (M), 
such rules’’; 
(3) in subparagraph (K), by striking ‘‘In deter-
mining’’ and inserting ‘‘Subject to subparagraph 
(M), in determining’’; and 
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217 
(4) by adding at the end the following new sub-
paragraph: 
‘‘(M) TREATMENT OF CERTAIN RESIDENTS 
AND INTERNS.—For purposes of cost-reporting 
periods beginning on or after October 1, 2021, 
in determining the hospital’s number of full- 
time equivalent residents for purposes of this 
paragraph, all 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— 
‘‘(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)(xi) of the Social Security Act (42 U.S.C. 
1395ww(d)(5)(B)(xi)), 
as 
redesignated 
by 
section 
2006(b), is amended— 
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218 
(1) in subclause (II), by striking ‘‘In deter-
mining’’ and inserting ‘‘Subject to subclause (IV), in 
determining’’; 
(2) in subclause (III), by striking ‘‘In deter-
mining’’ and inserting ‘‘Subject to subclause (IV), in 
determining’’; and 
(3) by inserting after subclause (III) the fol-
lowing new subclause: 
‘‘(IV) For purposes of cost-reporting peri-
ods beginning on or after October 1, 2021, the 
provisions of subparagraph (M) of subsection 
(h)(4) shall apply under this subparagraph in 
the same manner as they apply under such sub-
section.’’. 
SEC. 3010. DEVELOPING AND IMPLEMENTING STRATEGIES 
FOR LOCAL HEALTH EQUITY. 
(a) GRANTS.—The Secretary of Health and Human 
Services, acting jointly with the Secretary of Education 
and the Secretary of Labor, shall make grants to an eligi-
ble institution of higher education 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 
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276 
‘‘(iii) any individual designated to perform im-
migration enforcement functions pursuant to sub-
section (g). 
‘‘(B) While carrying out an enforcement action at a 
protected area, officers and agents referred to in subpara-
graph (A) shall make every effort— 
‘‘(i) to limit the time spent at the protected 
area; 
‘‘(ii) to limit the enforcement action at the pro-
tected area to the person or persons for whom prior 
approval was obtained; and 
‘‘(iii) to conduct themselves discreetly. 
‘‘(C) If, while carrying out an enforcement action 
that is not initiated at or focused on a protected area, 
officers or agents are led to a protected area, and no exi-
gent circumstance and prior approval with respect to the 
protected area, such officers or agents shall— 
‘‘(i) cease before taking any further enforce-
ment action; 
‘‘(ii) conduct themselves in a discreet manner; 
‘‘(iii) maintain surveillance on an individual; 
and 
‘‘(iv) immediately consult their supervisor in 
order to determine whether such enforcement action 
should be discontinued. 
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277 
‘‘(D) The limitations under this paragraph shall not 
apply to the transportation of an individual apprehended 
at or near a land or sea border to a hospital or health 
care provider for the purpose of providing medical care 
to such individual. 
‘‘(4)(A) Each official specified in subparagraph (B) 
shall ensure that the employees under his or her super-
vision receive annual training on compliance with— 
‘‘(i) the requirements under this subsection with 
respect to enforcement actions at or focused on pro-
tected areas and enforcement actions that lead offi-
cers or agents to a protected area; and 
‘‘(ii) the requirements under section 239 of this 
Act and section 384 of the Illegal Immigration Re-
form and Immigrant Responsibility Act of 1996 (8 
U.S.C. 1367). 
‘‘(B) The officials specified in this subparagraph 
are— 
‘‘(i) the Chief Counsel of each Field Office of 
U.S. Immigration and Customs Enforcement; 
‘‘(ii) each Field Office Director of U.S. Immi-
gration and Customs Enforcement; 
‘‘(iii) each Special Agent in Charge of U.S. Im-
migration and Customs Enforcement; 
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278 
‘‘(iv) each Chief Patrol Agent of U.S. Customs 
and Border Protection; 
‘‘(v) the Director of Field Operations of U.S. 
Customs and Border Protection; 
‘‘(vi) the Director of Air and Marine Operations 
of U.S. Customs and Border Protection; 
‘‘(vii) the Internal Affairs Special Agent in 
Charge of U.S. Customs and Border Protection; and 
‘‘(viii) the chief law enforcement officer of each 
State or local law enforcement agency that enters 
into a written agreement with the Department of 
Homeland Security pursuant to subsection (g). 
‘‘(5) Not later than 180 days after the date of the 
Health Equity and Accountability Act, the Secretary of 
Homeland Security shall modify the Notice to Appear 
form (I–862)— 
‘‘(A) to provide the subject of an enforcement 
action with information, written in plain language, 
summarizing the restrictions against enforcement 
actions at protected areas set forth in this sub-
section and the remedies available to the individual 
if such action violates such restrictions; 
‘‘(B) to ensure that the information described 
in subparagraph (A) is accessible to an individual 
with limited English proficiency; and 
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1026 
1861(aa)(1)(B) of the Social Security Act (42 
U.S.C. 1395x(aa)(1)(B)) is amended by striking ‘‘or 
by a clinical social worker (as defined in subsection 
(hh)(1)),’’ and inserting ‘‘, by a clinical social worker 
(as defined in subsection (hh)(1)), by a marriage 
and family therapist (as defined in subsection 
(nnn)(2)), or by a mental health counselor (as de-
fined in subsection (nnn)(4)), or by a substance 
abuse counselor (as defined in section 1861 
(nnn)(6)), or by a peer support specialist (as defined 
in section 1861(nnn)(8)).’’. 
(2) 
HOSPICE
PROGRAMS.—Section 
1861(dd)(2)(B)(i)(III) of the Social Security Act (42 
U.S.C. 1395x(dd)(2)(B)(i)(III)) is amended by in-
serting ‘‘or one marriage and family therapist (as 
defined in subsection (nnn)(2))’’ after ‘‘social work-
er’’. 
(c) AUTHORIZATION
OF MARRIAGE
AND FAMILY 
THERAPISTS
TO
DEVELOP
DISCHARGE
PLANS
FOR 
POSTHOSPITAL SERVICES.—Section 1861(ee)(2)(G) of 
the Social Security Act (42 U.S.C. 1395x(ee)(2)(G)) is 
amended by inserting ‘‘marriage and family therapist (as 
defined in subsection (nnn)(2)),’’ after ‘‘social worker,’’. 
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