I 
118TH CONGRESS 
1ST SESSION H. R. 4147 
To provide for the establishment of an education program to expand abortion 
care training and access. 
IN THE HOUSE OF REPRESENTATIVES 
JUNE 15, 2023 
Mr. BERA (for himself, Ms. SCHRIER, Mrs. FLETCHER, and Mr. POCAN) in-
troduced the following bill; which was referred to the Committee on En-
ergy and Commerce 
A BILL 
To provide for the establishment of an education program 
to expand abortion care training and access. 
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 ‘‘Reproductive Health 
Care Training Act of 2023’’. 
SEC. 2. EDUCATION PROGRAM TO EXPAND ABORTION CARE 
TRAINING AND ACCESS. 
(a) IN GENERAL.—The Secretary of Health and 
Human Services (in this section referred to as the ‘‘Sec-
retary’’), acting through the Administrator of the Health 
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Resources and Services Administration, shall establish a 
program to award grants or contracts to eligible entities 
to carry out the activities described in subsection (d) for 
the purposes of— 
(1) expanding and supporting education for stu-
dents, residents, or advanced practice clinicians in a 
covered State that permits comprehensive training in 
abortion care; and 
(2) preparing and encouraging each such stu-
dent, resident, and advanced practice clinician train-
ing in a covered State to serve as an abortion pro-
vider after completing such training. 
(b) APPLICATION.—To be eligible to receive an award 
under this section, an eligible entity shall submit an appli-
cation to the Secretary at such time, in such manner, and 
containing such information as the Secretary may require, 
including— 
(1) a certification that such eligible entity will 
use amounts provided to the entity to carry out the 
activities described in subsection (e); and 
(2) a description of how such eligible entity will 
carry out such activities. 
(c) ELIGIBLE ENTITY.—For purposes of this section, 
the term ‘‘eligible entity’’ includes accredited health pro-
fessions schools, academic health centers or other appro-
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priate public or private nonprofit health care safety net 
providers, including sexual and reproductive health pro-
viders, as determined by the Secretary. 
(d) PRIORITY.—In making awards under this section, 
the Secretary shall give priority to eligible entities that— 
(1) are located in a covered State in which clin-
ical training for heath care students, residents, and 
advanced practice clinicians in abortion care is per-
mitted and/or comprehensively taught; 
(2) support clinical training in abortion care for 
health care students, residents, and advanced prac-
tice clinicians from States where such training is 
otherwise limited; or 
(3) are minority serving institutions or institu-
tions that provide training to increase underrep-
resented minority health professions. 
(e) USE OF FUNDS.—An eligible entity shall use 
funds made available under an award under this section 
to carry out the following activities: 
(1) Support or expand clinical training for 
health care students, residents, and advanced prac-
tice clinicians in abortion care. 
(2) Develop and operate programs to train 
health care students, residents, and advanced prac-
tice clinicians in abortion care by— 
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(A) defining a set of clinical training ac-
tivities related to abortion care, including those 
that include care for racial and ethnic minority 
groups, people with disabilities, Tribal, and 
medically underserved communities; 
(B) identifying and addressing challenges 
to accessing abortion care, including the needs 
of racial and ethnic minority groups, people 
with disabilities, Tribal, and medically under-
served communities; 
(C) supporting the use of telehealth tech-
nologies and practices related to abortion care; 
(D) integrating abortion training into 
health care education; and 
(E) promoting interprofessional training 
that 
includes 
non-obstetrician–gynecologist 
abortion providers. 
(3) Develop or expand strategic partnerships 
with community health organizations or other eligi-
ble entities to enhance access to abortion care and 
improve health outcomes. 
(4) Develop, implement, and evaluate methods 
to improve recruitment and retention of health care 
students and advanced practice clinicians from medi-
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cally underserved communities to increase access to 
abortion care. 
(5) Train and support instructors to serve 
medically underserved communities. 
(6) Prepare health care students, residents, or 
advanced practice clinicians for transition into clin-
ical practice that includes abortion care, with a focus 
on medically underserved communities. 
(7) Provide scholarships or stipends to health 
care students, residents, or advanced practice clini-
cians that are pursing training in abortion care, with 
a focus on medically underserved communities. 
(f) SUPPLEMENT NOT SUPPLANT.—Federal funds 
appropriated to carry out this section shall supplement not 
supplant funds otherwise made available to carry out title 
VII and title VIII of the Public Health Service Act (42 
U.S.C. 292 et seq. and 296 et seq.). 
(g) REPORTING.— 
(1) REPORTS
FROM
ENTITIES.—Each entity 
that receives an award under this section shall sub-
mit an annual report to the Secretary on the finan-
cial and programmatic performance under such 
award, which may include factors such as the num-
ber of trainees, the number of professions and dis-
ciplines, the number of partnerships with health care 
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delivery sites, the number of faculty and practicing 
health care professionals who participated in con-
tinuing education programs, and other factors, as 
the Secretary may require, in a manner that does 
not allow for identification of patients, individual 
providers, or other participants. 
(2) REPORTS
TO
CONGRESS.—At the end of 
each year in which the Secretary makes awards 
under this section, the Secretary shall submit to the 
Committee on Health, Education, Labor, and Pen-
sions of the Senate and the Committee on Energy 
and Commerce of the House of Representatives a re-
port that provides a summary of the financial and 
programmatic performance of such awards, which 
may include factors such as the number trainees, the 
number of professions and disciplines, the number of 
partnerships with health care delivery sites, the 
number of faculty and practicing health care profes-
sionals who participated in continuing education pro-
grams, and other factors that assess the impact of 
the program on the expansion of access to abortion 
services, in a manner that does not disclose any 
identifiable information of patients, individual pro-
viders, or other participants. 
(h) DEFINITIONS.—In this section: 
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(1) COVERED
STATE.—The term ‘‘covered 
State’’ means a State, Puerto Rico, and a territory 
or possession of the United States in which com-
prehensive training for abortion care is permissible. 
(2) MEDICALLY UNDERSERVED COMMUNITY.— 
The term ‘‘medically underserved community’’ has 
the meaning given such term in section 799B of the 
Public Health Service Act (42 U.S.C. 295p). 
(i) AUTHORIZATION OF APPROPRIATIONS.—There is 
authorized to be appropriated to carry out this section 
$25,000,000 for each of fiscal years 2024 through 2028. 
Æ 
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