124 
‘‘(other 
than 
under 
an 
MSA 
plan)’’ 
after 
‘‘Medicare+Choice organization under part C’’. 
(d) EFFECTIVE DATE.—The amendments made by 
this section shall be effective on the date of the enactment 
of this Act. 
SEC. 807. EMTALA TECHNICAL ADVISORY GROUP. 
(a) AUTHORIZATION FOR EXTENSION.—Subsection 
(e) of section 945 of the Medicare Prescription Drug, Im-
provement, and Modernization Act of 2003 (Public Law 
108–173; 42 U.S.C. 1395dd note) is amended by inserting 
before the period at the end the following: ‘‘, except that 
the Secretary may extend the Advisory Group beyond such 
date in order to permit the Advisory Group to continue 
to carry out its responsibilities’’. 
(b) SECRETARIAL RESPONSIVE REPORT ON GROUP 
RECOMMENDATIONS.—Such section is further amended 
by adding at the end the following new subsection: 
‘‘(g) SECRETARIAL RESPONSE
TO RECOMMENDA-
TIONS.—The Secretary shall review the recommendations 
made to the Secretary by the Advisory Group and shall 
submit to Congress a report that contains a description 
of any actions the Secretary intends to take in response 
to such recommendations and problems identified by the 
Advisory Group with regard to the EMTALA regulations 
and their application.’’. 
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125 
SEC. 808. FEDERALLY-SUPPORTED STUDENT LOAN FUNDS 
FOR MEDICAL STUDENTS. 
(a) PRIMARY HEALTH CARE MEDICAL STUDENTS.— 
Subpart II of part A of the Public Health Service Act (42 
U.S.C. 292q et seq.) is amended— 
(1) by redesignating section 735 as section 729; 
and 
(2) in subsection (f) of section 729 (as so redes-
ignated), by striking ‘‘is authorized to be appro-
priated to be appropriated $10,000,000 for each of 
the fiscal years 1994 through 1996’’ and inserting 
‘‘are authorized to be appropriated such sums as 
may be necessary for fiscal year 2008 and each fis-
cal year thereafter’’. 
(b) OTHER MEDICAL STUDENTS.—Part A of title VII 
of the Public Health Service Act (42 U.S.C. 292 et seq.) 
is amended by adding at the end the following: 
‘‘Subpart III—Federally-Supported Student Loan 
Funds for Certain Medical Students 
‘‘SEC. 730. SCHOOL LOAN FUNDS FOR CERTAIN MEDICAL 
STUDENTS. 
‘‘(a) FUND AGREEMENTS.—For the purpose de-
scribed in subsection (b), the Secretary is authorized to 
enter into an agreement for the establishment and oper-
ation of a student loan fund with any public or nonprofit 
school of medicine or osteopathic medicine. 
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126 
‘‘(b) PURPOSE.—The purpose of this subpart is to 
provide for loans to medical students who would be eligible 
for a loan under subpart II, except for the student’s deci-
sion to enter a residency training program in a field other 
than primary health care. 
‘‘(c) COMMENCEMENT
OF REPAYMENT PERIOD.— 
The repayment period for a loan under this section shall 
not begin before the end of any period during which the 
student is participating in an internship, residency, or fel-
lowship training program directly related to the field of 
medicine which the student agrees to enter pursuant to 
subsection (d). 
‘‘(d) REQUIREMENTS FOR STUDENTS.—Each agree-
ment under this section for the establishment of a student 
loan fund shall provide that the school of medicine or os-
teopathic medicine will make a loan to a student from such 
fund only if the student agrees— 
‘‘(1) to enter and complete a residency training 
program (in a field of medicine other than primary 
health care) not later than a period determined by 
the Secretary to be reasonable after the date on 
which the student graduates from such school; and 
‘‘(2) to practice medicine through the date on 
which the loan is repaid in full. 
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127 
‘‘(e) REQUIREMENTS FOR SCHOOLS.—The provisions 
of section 723(b) (regarding graduates in primary health 
care) shall not apply to a student loan fund established 
under this section. 
‘‘(f) APPLICABILITY OF OTHER PROVISIONS.—Ex-
cept as inconsistent with this section, the provisions of 
subpart II shall apply to the program of student loan 
funds established under this section to the same extent 
and in the same manner as such provisions apply to the 
program of student loan funds established under subpart 
II. 
‘‘(g) AUTHORIZATION
OF
APPROPRIATIONS.—To 
carry out this section, there are authorized to be appro-
priated such sums as may be necessary for fiscal year 
2008 and each fiscal year thereafter.’’. 
SEC. 
809. 
ESTABLISHMENT 
OF 
PERFORMANCE-BASED 
QUALITY MEASURES. 
Not later than January 1, 2009, the Secretary of 
Health and Human Services shall submit to Congress a 
proposal for a formalized process for the development of 
performance-based quality measures that could be applied 
to physicians’ services under the Medicare program. Such 
proposal shall be in concert with and agreement with the 
Physician Consortium for Performance Improvement and 
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shall only utilize measures agreed upon by each physician 
specialty group. 
Æ 
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