I
103D CONGRESS
1ST SESSION
H. R. 3089
To provide for programs and activities regarding primary health care.
IN THE HOUSE OF REPRESENTATIVES
SEPTEMBER 15, 1993
Mr. KLUG introduced the following bill; which was referred jointly to the Com-
mittees on Energy and Commerce, Ways and Means, and Education and
Labor
A BILL
To provide for programs and activities regarding primary
health care.
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ‘‘Family Medicine and
Primary Care Research Act of 1993’’.
TITLE 
I—OFFICE 
OF 
FAMILY
MEDICINE 
AND 
PRIMARY
CARE RESEARCH
SEC. 101. ESTABLISHMENT OF OFFICE OF FAMILY MEDI-
CINE AND PRIMARY CARE RESEARCH.
Subpart A of title IV of the Public Health Service
Act (42 U.S.C. 281 et seq.), as amended by section 209
of Public Law 103–43 (107 Stat. 149), is amended by
adding at the end the following section:
‘‘OFFICE OF FAMILY MEDICINE AND PRIMARY CARE
RESEARCH
‘‘SEC. 404F. (a) IN GENERAL.—There is established
within the Office of the Director of NIH an office to be
known as the Office on Family Medicine and Primary
Care Research (in this section referred to as the ‘Office’),
which shall be headed by a director appointed by the Di-
rector of NIH.
‘‘(b) DUTIES.—
‘‘(1) IN GENERAL.—With respect to the field of
family medicine and other primary medical care dis-
ciplines, the Director of the Office shall monitor and
coordinate all activities of the National Institutes of
Health, including biomedical, social, and behavioral
research and activities regarding training and the
dissemination of health information.
for research) of new and existing centers for research in
family care medicine and primary care.
‘‘(e) ADVISORY COUNCIL.—The Secretary shall ap-
point an advisory council for the Office to advise, assist,
consult with, and make recommendations to the Secretary
and the Director of the Office on matters related to the
activities carried out under this section.
‘‘(f) BIENNIAL REPORT.—The Director of the Office,
after consultation with the advisory council established
under subsection (e), shall prepare for inclusion in the bi-
ennial report made under section 403 a biennial report
which shall consist of a description of the activities of the
Office and program policies of the Director of the Office
in the fiscal years respecting which the report is prepared,
including the program required under subsection (c).’’.
TITLE 
II—INCENTIVES 
FOR
RURAL PHYSICIANS REGARD-
ING PRIMARY CARE
SEC. 201. DEDUCTION FOR MEDICAL SCHOOL EDUCATION
LOAN INTEREST INCURRED BY DOCTORS
SERVING 
IN 
MEDICALLY 
UNDERSERVED
RURAL AREAS.
(a) IN GENERAL.—Paragraph (1) of section 163(h)
of the Internal Revenue Code of 1986 (relating to dis-
allowance of deduction for personal interest) is amended
by striking ‘‘and’’ at the end of subparagraph (D), by re-
designating subparagraph (E) as subparagraph (F), and
by inserting after subparagraph (D) the following new
subparagraph:
‘‘(E) any qualified medical education loan
interest (within the meaning of paragraph (5)),
and’’.
(b) QUALIFIED MEDICAL EDUCATION LOAN INTER-
EST DEFINED.—Subsection (h) of section 163 of such
Code is amended by redesignating paragraph (5) as para-
graph (6) and by inserting after paragraph (4) the follow-
ing new paragraph:
‘‘(5) QUALIFIED MEDICAL EDUCATION LOAN IN-
TEREST.—
‘‘(A) IN
GENERAL.—The term ‘qualified
medical education loan interest’ means inter-
est—
‘‘(i) which is on a medical education
loan of a physician,
‘‘(ii) which is paid or accrued by such
physician, and
‘‘(iii) which accrues during the pe-
riod—
‘‘(I) such physician is providing
primary care (including general inter-
nal medicine, general pediatrics, fam-
ily medicine, and osteopathy), or ob-
stetrical and gynecology services, to
residents of a medically underserved
rural area, and
‘‘(II) such physician’s principal
place of abode is in such area.
‘‘(B) MEDICAL
EDUCATION
LOAN.—The
term ‘medical education loan’ means indebted-
ness incurred to pay the individual’s—
‘‘(i) qualified tuition and related ex-
penses (as defined in section 117(b)) in-
curred for the medical education of such
individual, or
‘‘(ii) reasonable living expenses while
away from home in order to attend an edu-
cational institution described in section
170(b)(1)(A)(ii) for the medical education
of such individual.
‘‘(C) PHYSICIAN.—For purposes of sub-
paragraph (A), the term ‘physician’ has the
meaning given such term by section 1861(r)(1)
of the Social Security Act.
‘‘(D) MEDICALLY
UNDERSERVED
RURAL
AREA.—The term ‘medically underserved rural
area’ means any rural area which is a medically
underserved area (as defined in section 330(b)
or 1302(7) of the Public Health Service Act).’’.
(c) EFFECTIVE DATE.—The amendments made by
this section shall apply to taxable years ending after the
date of the enactment of this Act.
SEC. 202. EXTENSION OF DEFERMENTS.
(a) STAFFORD LOANS.—
(1) GSL LOANS.—Section 428(b)(1)(M) of the
Higher 
Education 
Act 
of 
1965 
(20 
U.S.C.
1078(b)(1)(M)) is amended—
(A) by striking ‘‘or’’ at the end of clause
(ii);
(B) by inserting ‘‘or’’ after the semicolon
at the end of clause (iii); and
(C) by adding at the end thereof the fol-
lowing new clause:
‘‘(iv) during which the borrower is
serving in an internship or residency pro-
gram in preparation for practice in an area
of primary care (including general internal
medicine, general pediatrics, family medi-
cine, and osteopathy) or in obstetrics and
gynecology;’’.
(2) FISL LOANS.—Section 427(a)(2)(C) of
such Act (20 U.S.C. 1077(a)(2)(C)) is amended—
(A) by striking ‘‘or’’ at the end of clause
(ii);
(B) by inserting ‘‘or’’ after the semicolon
at the end of clause (iii); and
(C) by adding at the end thereof the fol-
lowing new clause:
‘‘(iv) during which the borrower is
serving in an internship or residency pro-
gram in preparation for practice in an area
of primary care (including general internal
medicine, general pediatrics, family medi-
cine, and osteopathy) or in obstetrics and
gynecology;’’.
(b) PERKINS LOANS.—Section 464(c)(2)(A) of such
Act (20 U.S.C. 1087dd(c)(2)(A)) is amended—
(1) by striking ‘‘or’’ at the end of clause (iii);
(2) by inserting ‘‘or’’ after the semicolon at the
end of clause (iv); and
(3) by adding at the end thereof the following
new clause:
‘‘(v) during which the borrower is
serving in an internship or residency pro-
gram in preparation for practice in an area