IIB 
108TH CONGRESS 
1ST SESSION H. R. 3038
IN THE SENATE OF THE UNITED STATES 
OCTOBER 2, 2003
Received; read twice and referred to the Committee on Health, Education, 
Labor, and Pensions 
AN ACT 
To make certain technical and conforming amendments to 
correct the Health Care Safety Net Amendments of 2002.
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled,
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SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Health Care Safety 
Net Amendments Technical Corrections Act of 2003’’. 
SEC. 2. TECHNICAL AMENDMENTS. 
(a) HEALTH CENTERS.—
(1) IN GENERAL.—Section 330 of the Public 
Health Service Act (42 U.S.C. 254b) is amended to 
read as if—
(A) subparagraph (C) of the second para-
graph (4) of section 101 of Public Law 107–
251 had not been enacted; 
(B) paragraph (7)(C) of such section 101 
had not been enacted; and 
(C) paragraphs (8) through (11) of such 
section 101 had not been enacted. 
(2) AMENDMENTS PER PUBLIC LAW 107–251.—
Section 330 of the Public Health Service Act (42 
U.S.C. 254b), as amended by paragraph (1), is 
amended—
(A) in subsection (c)(1)(B), in the matter 
preceding clause (i), by striking ‘‘plan..’’ and 
inserting ‘‘plan.’’; 
(B) in subsection (d)(1)(B)(iii), in sub-
clause (I), by adding ‘‘or’’ at the end; 
(C) by striking subsection (k);
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(D) by redesignating subsection (j) as sub-
section (k); 
(E) by inserting after subsection (i) a sub-
section that is identical to the subsection (j) 
that appears (as an amendment) in section 
101(8)(C) of Public Law 107–251; 
(F) by redesignating subsection (l) as sub-
section (r), by transferring it from its current 
placement, and by inserting it after subsection 
(q); 
(G) by inserting before subsection (m) a 
subsection that is identical to the subsection 
that appears (as an amendment) in section 
101(9) of Public Law 107–251, and by redesig-
nating as subsection (l) the subsection that is 
so inserted; 
(H) in subsection (l) (as inserted and re-
designated by subparagraph (G) of this para-
graph), in the first sentence—
(i) by inserting after ‘‘shall provide’’ 
the following: ‘‘(either through the Depart-
ment of Health and Human Services or by 
grant or contract)’’; and 
(ii) by striking ‘‘(l)(3)’’ and inserting 
‘‘(k)(3)’’;
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(I) 
in 
subsection 
(p), 
by 
striking 
‘‘(j)(3)(G)’’ and inserting ‘‘(k)(3)(G)’’; and 
(J) in subsection (r) (as redesignated, 
transferred, and inserted by subparagraph (F) 
of this paragraph)—
(i) in paragraph (1), by striking 
‘‘$802,124,000’’ 
and 
all 
that 
follows 
through 
the 
period 
and 
inserting 
‘‘$1,340,000,000 for fiscal year 2002 and 
such sums as may be necessary for each of 
the fiscal years 2003 through 2006.’’; 
(ii) in paragraph (2)(A)—
(I) by striking ‘‘(j)(3))’’ and in-
serting ‘‘(k)(3))’’; and 
(II) by striking ‘‘(j)(3)(G)(ii)’’ 
and inserting ‘‘(k)(3)(H)’’; and 
(iii) in paragraph (2), by striking sub-
paragraph (B) and inserting a subpara-
graph that is identical to the subparagraph 
(B) that appears (as an amendment) in 
section 101(11)(B)(ii) of Public Law 107–
251. 
(b) 
RURAL
HEALTH
OUTREACH.—Section 
330A(b)(4) of the Public Health Service Act (42 U.S.C.
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254c(b)(4)) is amended by striking ‘‘799B’’ and inserting 
‘‘799B(6)’’. 
(c) TELEHEALTH.—Section 330I of the Public 
Health Service Act (42 U.S.C. 254c–14) is amended—
(1) in subsection (a)(4), by striking ‘‘799B’’ 
and inserting ‘‘799B(6)’’; and 
(2) in subsection (c)(1), by striking ‘‘Health 
and Resources and Services Administration’’ and in-
serting ‘‘Health Resources and Services Administra-
tion’’. 
(d) 
MENTAL
HEALTH
SERVICES
VIA
TELE-
HEALTH.—Section 330K of the Public Health Service Act 
(42 U.S.C. 254c–16) is amended—
(1) in subsection (b)(2), by striking ‘‘subsection 
(a)(4)’’ and inserting ‘‘subsection (a)(3)’’; and 
(2) in subsection (c)(1)—
(A) in subparagraph (A), by striking ‘‘sub-
section (a)(4)(A)’’ and inserting ‘‘subsection 
(a)(3)(A)’’; and 
(B) in subparagraph (B), by striking ‘‘sub-
section (a)(4)(B)’’ and inserting ‘‘subsection 
(a)(3)(B)’’. 
(e) TELEMEDICINE INCENTIVE GRANTS.—
(1) IN GENERAL.—Subpart I of part D of 
title III of the Public Health Service Act (42
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U.S.C. 254b et seq.) is amended by adding at 
the end the following:
‘‘SEC. 330L. TELEMEDICINE; INCENTIVE GRANTS REGARD-
ING COORDINATION AMONG STATES. 
‘‘(a) IN GENERAL.—The Secretary may make grants 
to State professional licensing boards to carry out pro-
grams under which such licensing boards of various States 
cooperate to develop and implement State policies that will 
reduce statutory and regulatory barriers to telemedicine. 
‘‘(b) AUTHORIZATION OF APPROPRIATIONS.—For the 
purpose of carrying out subsection (a), there are author-
ized to be appropriated such sums as may be necessary 
for each of the fiscal years 2002 through 2006.’’. 
(2) REPEAL.—Section 102 of the Health Care 
Safety Net Amendments of 2002 (Public Law 107–
251) is repealed. 
(f) HEALTH PROFESSIONAL SHORTAGE AREAS.—
(1) IN GENERAL.—Section 332 of the Public 
Health Service Act (42 U.S.C. 254e) is amended—
(A) in subsection (a)(1)—
(i) by striking ‘‘such date of enact-
ment’’ and inserting ‘‘such date of designa-
tion’’; and
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(ii) by striking ‘‘, issued after the date 
of enactment of this Act, that revise’’ and 
inserting ‘‘regarding’’; and 
(B) in subsection (a)(3), by striking 
‘‘330(h)(4)’’ and inserting ‘‘330(h)(5)’’; 
(C) in subsection (b)(2), by striking ‘‘des-
ignation,.’’ and inserting ‘‘designation.’’; and 
(D) by adding at the end the following: 
‘‘(j)(1) The Secretary shall submit the report de-
scribed in paragraph (2) if the Secretary, acting through 
the Administrator of the Health Resources and Services 
Administration, issues—
‘‘(A) a regulation that revises the definition of 
a health professional shortage area for purposes of 
this section; or 
‘‘(B) a regulation that revises the standards 
concerning priority of such an area under section 
333A. 
‘‘(2) On issuing a regulation described in paragraph 
(1), the Secretary shall prepare and submit to the Com-
mittee on Energy and Commerce of the House of Rep-
resentatives and the Committee on Health, Education, 
Labor, and Pensions of the Senate a report that describes 
the regulation.
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(k) NATIONAL HEALTH SERVICE CORPS LOAN RE-
PAYMENT PROGRAM.—Section 338B(e) of the Public 
Health Service Act (42 U.S.C. 254l–1) is amended by 
striking ‘‘PARTICIPATION.—’’ and all that follows through 
‘‘An individual’’ and inserting ‘‘PARTICIPATION.—An indi-
vidual’’. 
(l) BREACH OF CONTRACT.—
(1) IN GENERAL.—Section 338E of the Public 
Health Service Act (42 U.S.C. 254o) is amended—
(A) in subsection (c)(1), by moving sub-
paragraphs (A), (B), and (C), and the flush 
matter following subparagraph (C), 2 ems to 
the left; and 
(B) by adding at the end the following: 
‘‘(f) The amendment made by section 313(a)(4) of 
the Health Care Safety Net Amendments of 2002 (Public 
Law 107–251) shall apply to any obligation for which a 
discharge in bankruptcy has not been granted before the 
date that is 31 days after the date of enactment of such 
Act.’’. 
(2) REPEAL.—Subsection (b) of section 313 of 
the Health Care Safety Net Amendments of 2002 
(Public Law 107–251) is repealed. 
(m) MISCELLANEOUS.—The Public Health Service 
Act (42 U.S.C. 201 et seq.) is amended—
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(1) in subsections (g)(1)(G)(ii), (k)(2), and 
(n)(1)(C) of section 224, and sections 317A(a)(2), 
317E(c), and 318A(e), by striking ‘‘330, 330(h)’’ 
and inserting ‘‘330’’; 
(2) in section 1313, by striking ‘‘329, 330, and 
330(h)’’ and inserting ‘‘329 and 330’’; and 
(3) in section 2652(a)(2), by striking ‘‘section 
340’’ and inserting ‘‘section 330(h)’’. 
(n) HEALTH CARE SAFETY NET AMENDMENTS OF 
2002.—The Health Care Safety Net Amendments of 2002 
(Public Law 107–251) is amended—
(1) in section 404(c)(5), by striking ‘‘Health 
Care Financing Administration and the Health Re-
search’’ and inserting ‘‘Centers for Medicare & Med-
icaid Services and the Health Resources’’; and 
(2) in section 501, by striking ‘‘solvency for 
managed care networks’’ and inserting ‘‘guarantees 
of solvency for managed care networks or plans’’.
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SEC. 3. EFFECTIVE DATE. 
This Act is deemed to have taken effect immediately 
after the enactment of Public Law 107–251.
Passed the House of Representatives October 1, 
2003. 
Attest: 
JEFF TRANDAHL, 
Clerk.