484 
(2) the Committee on Indian Affairs and the 
Committee on Health, Education, Labor, and Pen-
sions of the Senate. 
(f) TRIBAL DATA SOVEREIGNTY.—The Director of 
the Indian Health Service shall ensure that all research 
and field studies conducted or supported under this sec-
tion are tribally-directed and carried out in a manner 
which ensures Tribal-direction of all data collected under 
this section— 
(1) according to Tribal best practices regarding 
research design and implementation, including by 
ensuring the consent of the Tribes involved to public 
reporting of Tribal data; 
(2) according to all relevant and applicable 
Tribal, professional, institutional, and Federal 
standards for conducting research and governing re-
search ethics; 
(3) with the prior and informed consent of any 
Indian Tribe participating in the research or sharing 
data for use under this section; and 
(4) in a manner that respects the inherent sov-
ereignty of Indian Tribes, including Tribal govern-
ance of data and research. 
(g) FINAL REPORT.—Not later than December 31, 
2023, the Director of the Indian Health Service shall— 
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(1) update and finalize the initial report under 
subsection (e); and 
(2) submit such final report to the committees 
specified in such subsection. 
(h) DEFINITIONS.—In this section: 
(1) The terms ‘‘Indian Tribe’’ and ‘‘Tribal or-
ganization’’ have the meanings given to such terms 
in section 4 of the Indian Self-Determination and 
Education Assistance Act (25 U.S.C. 5304). 
(2) The term ‘‘Urban Indian organization’’ has 
the meaning given to such term in section 4 of the 
Indian Health Care Improvement Act (25 U.S.C. 
1603). 
(i) AUTHORIZATION OF APPROPRIATIONS.—There is 
authorized to be appropriated to carry out this section 
$25,000,000, to remain available until expended. 
SEC. 1109. RESEARCH ENDOWMENTS AT BOTH CURRENT 
AND FORMER CENTERS OF EXCELLENCE. 
Paragraph (1) of section 464z–3(h) of the Public 
Health Service Act (42 U.S.C. 285t(h)) is amended to 
read as follows: 
‘‘(1) IN GENERAL.—The Director of the Insti-
tute may carry out a program to facilitate minority 
health disparities research and other health dispari-
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ties research by providing for research endow-
ments— 
‘‘(A) at current or former centers of excel-
lence under section 736; and 
‘‘(B) at current or former centers of excel-
lence under section 464z–4.’’. 
TITLE XII—EDUCATION 
SEC. 1201. GRANTS FOR SCHOOLS OF MEDICINE IN DI-
VERSE AND UNDERSERVED AREAS. 
Subpart II of part C of title VII of the Public Health 
Service Act is amended by inserting after section 749B 
of such Act (42 U.S.C. 293m) the following: 
‘‘SEC. 749C. SCHOOLS OF MEDICINE IN UNDERSERVED 
AREAS. 
‘‘(a) GRANTS.—The Secretary, acting through the 
Administrator of the Health Resources and Services Ad-
ministration, may award grants to institutions of higher 
education (including multiple institutions of higher edu-
cation applying jointly) for the establishment, improve-
ment, and expansion of an allopathic or osteopathic school 
of medicine, or a branch campus of an allopathic or osteo-
pathic school of medicine. 
‘‘(b) PRIORITY.—In selecting grant recipients under 
this section, the Secretary shall give priority to institutions 
of higher education that— 
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‘‘(1) propose to use the grant for an allopathic 
or osteopathic school of medicine, or a branch cam-
pus of an allopathic or osteopathic school of medi-
cine, in a combined statistical area with fewer than 
200 actively practicing physicians per 100,000 resi-
dents according to the medical board (or boards) of 
the State (or States) involved; 
‘‘(2) have a curriculum that emphasizes care for 
diverse and underserved populations; or 
‘‘(3) are minority-serving institutions described 
in the list in section 371(a) of the Higher Education 
Act of 1965. 
‘‘(c) USE OF FUNDS.—The activities for which a 
grant under this section may be used include— 
‘‘(1) planning and constructing— 
‘‘(A) a new allopathic or osteopathic school 
of medicine in an area in which no other school 
is based; or 
‘‘(B) a branch campus of an allopathic or 
osteopathic school of medicine in an area in 
which no such school is based; 
‘‘(2) accreditation and planning activities for an 
allopathic or osteopathic school of medicine or 
branch campus; 
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‘‘(3) hiring faculty and other staff to serve at 
an allopathic or osteopathic school of medicine or 
branch campus; 
‘‘(4) recruitment and enrollment of students at 
an allopathic or osteopathic school of medicine or 
branch campus; 
‘‘(5) supporting educational programs at an 
allopathic or osteopathic school of medicine or 
branch campus; 
‘‘(6) modernizing infrastructure or curriculum 
at an existing allopathic or osteopathic school of 
medicine or branch campus thereof; 
‘‘(7) expanding infrastructure or curriculum at 
existing an allopathic or osteopathic school of medi-
cine or branch campus; and 
‘‘(8) other activities that the Secretary deter-
mines further the development, improvement, and 
expansion of an allopathic or osteopathic school of 
medicine or branch campus thereof. 
‘‘(d) DEFINITIONS.—In this section: 
‘‘(1) The term ‘branch campus’ means a geo-
graphically separate site at least 100 miles from the 
main campus of a school of medicine where at least 
one student completes at least 60 percent of the stu-
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dent’s training leading to a degree of doctor of medi-
cine. 
‘‘(2) The term ‘institution of higher education’ 
has the meaning given to such term in section 
101(a) of the Higher Education Act of 1965. 
‘‘(e) AUTHORIZATION
OF
APPROPRIATIONS.—To 
carry out this section, there is authorized to be appro-
priated $1,000,000,000, to remain available until ex-
pended.’’. 
SEC. 1202. AMENDMENT TO THE PUBLIC HEALTH SERVICE 
ACT. 
Title XXXIV of the Public Health Service Act, as 
amended by as amended by sections 104, 702, and 806, 
is amended by adding at the end the following: 
‘‘Subtitle D—Diversifying the 
Health Care Workplace 
‘‘SEC. 3410. 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. 
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‘‘(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. 
‘‘(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. 
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‘‘(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: 
‘‘(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. 
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‘‘(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. 
‘‘(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) AUTHORIZATION OF APPROPRIATIONS.—There 
is authorized to be appropriated to carry out this section 
such sums as may be necessary for each of fiscal years 
2021 through 2025. 
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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 
is authorized to be appropriated to carry out this section 
such sums as may be necessary for each of fiscal years 
2021 through 2025. 
‘‘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 Centers for Disease Control and 
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Prevention, shall award grants to eligible entities that 
demonstrate a commitment to health workforce 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) Hispanic-serving health professions 
schools; 
‘‘(C) Hispanic-serving institutions, as de-
fined in section 502 of such Act; 
‘‘(D) Tribal colleges or universities, as de-
fined in section 316 of such Act; 
‘‘(E) Asian American and Native American 
Pacific Islander-serving institutions, as defined 
in section 371(c) of such Act; 
‘‘(F) institutions that have programs to re-
cruit and retain underrepresented minority 
health professionals, in which a significant 
number of the enrolled participants are under-
represented minorities; 
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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. 
‘‘(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 
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that summarizes and evaluates all activities conducted 
under the grant. 
‘‘(e) AUTHORIZATION OF APPROPRIATIONS.—There 
is authorized to be appropriated to carry out this section, 
such sums as may be necessary for each of fiscal years 
2021 through 2025. 
‘‘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 
each such entity shall give priority in allocating research 
funding to support health research in traditionally under-
served communities, including underrepresented minority 
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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 
profession school. The Secretary shall promulgate addi-
tional regulations to define the scope and procedures for 
the program under this subsection. 
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‘‘(f) AUTHORIZATION OF APPROPRIATIONS.—There 
is authorized to be appropriated to carry out this section, 
such sums as may be necessary for each of fiscal years 
2021 through 2025. 
‘‘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 eligible individuals for ca-
reer support in nonresearch-related health and wellness 
professions. 
‘‘(b) ELIGIBILITY.—To be eligible to receive a grant 
under subsection (a), an individual shall— 
‘‘(1) 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 behav-
ioral health), or a faculty member of such a school; 
and 
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‘‘(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.—An individual shall use 
amounts received under a grant under this section to— 
‘‘(1) support the individual’s health activities or 
projects that involve underserved communities, in-
cluding racial and ethnic minority communities; 
‘‘(2) support health-related career advancement 
activities; 
‘‘(3) to pay, or as reimbursement for payments 
of, student loans or training or credentialing costs 
for individuals who are health professionals and are 
focused on health issues affecting underserved com-
munities, including racial and ethnic minority com-
munities; and 
‘‘(4) to establish and promote leadership train-
ing programs to decrease health disparities and to 
increase cultural competence with the goal of in-
creasing diversity in leadership positions. 
‘‘(d) DEFINITION.—In this section, the term ‘career 
in nonresearch-related health and wellness professions’ 
means employment or intended employment in the field 
of public health, health policy, health management, health 
administration, medicine, nursing, pharmacy, psychology, 
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