143 
‘‘(F) The National Institute on Minority 
Health and Health Disparities. 
‘‘(G) The Agency for Healthcare Research 
and Quality. 
‘‘(H) The Institute of Medicine Study 
Committee for the 2004 workforce diversity re-
port. 
‘‘(I) The Indian Health Service. 
‘‘(J) The Department of Education. 
‘‘(K) Minority-serving academic institu-
tions. 
‘‘(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 
VerDate Sep 11 2014 
23:08 Jul 08, 2020
Jkt 099200
PO 00000
Frm 00143
Fmt 6652
Sfmt 6201
E:\BILLS\H6637.IH
H6637
pbinns on DSKJLVW7X2PROD with BILLS
144 
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. 
‘‘(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. 
VerDate Sep 11 2014 
23:08 Jul 08, 2020
Jkt 099200
PO 00000
Frm 00144
Fmt 6652
Sfmt 6201
E:\BILLS\H6637.IH
H6637
pbinns on DSKJLVW7X2PROD with BILLS
145 
‘‘(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. 
‘‘(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-
VerDate Sep 11 2014 
23:08 Jul 08, 2020
Jkt 099200
PO 00000
Frm 00145
Fmt 6652
Sfmt 6201
E:\BILLS\H6637.IH
H6637
pbinns on DSKJLVW7X2PROD with BILLS
146 
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. 
‘‘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. 
VerDate Sep 11 2014 
23:08 Jul 08, 2020
Jkt 099200
PO 00000
Frm 00146
Fmt 6652
Sfmt 6201
E:\BILLS\H6637.IH
H6637
pbinns on DSKJLVW7X2PROD with BILLS
147 
‘‘(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. 
‘‘(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 
VerDate Sep 11 2014 
23:08 Jul 08, 2020
Jkt 099200
PO 00000
Frm 00147
Fmt 6652
Sfmt 6201
E:\BILLS\H6637.IH
H6637
pbinns on DSKJLVW7X2PROD with BILLS
148 
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 
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; 
VerDate Sep 11 2014 
23:08 Jul 08, 2020
Jkt 099200
PO 00000
Frm 00148
Fmt 6652
Sfmt 6201
E:\BILLS\H6637.IH
H6637
pbinns on DSKJLVW7X2PROD with BILLS
149 
‘‘(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; 
‘‘(G) 
health 
professional 
associations, 
which may include underrepresented minority 
health professional associations; and 
‘‘(H) institutions, including national and 
regional community-based organizations with 
demonstrated commitment to a diversified 
workforce— 
‘‘(i) located in communities with pre-
dominantly underrepresented minority pop-
ulations; 
‘‘(ii) with whom partnerships have 
been formed for the purpose of increasing 
workforce diversity; and 
‘‘(iii) in which at least 20 percent of 
the enrolled participants are underrep-
resented minorities; and 
VerDate Sep 11 2014 
23:08 Jul 08, 2020
Jkt 099200
PO 00000
Frm 00149
Fmt 6652
Sfmt 6201
E:\BILLS\H6637.IH
H6637
pbinns on DSKJLVW7X2PROD with BILLS
150 
‘‘(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.—Amounts received under a 
grant under subsection (a) shall be used to expand existing 
workforce diversity programs, implement new workforce 
diversity programs, or evaluate existing or new workforce 
diversity programs, including with respect to mental 
health care professions. Such programs shall enhance di-
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; 
VerDate Sep 11 2014 
23:08 Jul 08, 2020
Jkt 099200
PO 00000
Frm 00150
Fmt 6652
Sfmt 6201
E:\BILLS\H6637.IH
H6637
pbinns on DSKJLVW7X2PROD with BILLS
151 
‘‘(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 
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-
VerDate Sep 11 2014 
23:08 Jul 08, 2020
Jkt 099200
PO 00000
Frm 00151
Fmt 6652
Sfmt 6201
E:\BILLS\H6637.IH
H6637
pbinns on DSKJLVW7X2PROD with BILLS
152 
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 
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. 
VerDate Sep 11 2014 
23:08 Jul 08, 2020
Jkt 099200
PO 00000
Frm 00152
Fmt 6652
Sfmt 6201
E:\BILLS\H6637.IH
H6637
pbinns on DSKJLVW7X2PROD with BILLS
153 
‘‘(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. 
‘‘(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. 
VerDate Sep 11 2014 
23:08 Jul 08, 2020
Jkt 099200
PO 00000
Frm 00153
Fmt 6652
Sfmt 6201
E:\BILLS\H6637.IH
H6637
pbinns on DSKJLVW7X2PROD with BILLS
154 
‘‘(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 
‘‘(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 
VerDate Sep 11 2014 
23:08 Jul 08, 2020
Jkt 099200
PO 00000
Frm 00154
Fmt 6652
Sfmt 6201
E:\BILLS\H6637.IH
H6637
pbinns on DSKJLVW7X2PROD with BILLS
155 
‘‘(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, 
social work, psychiatry, other mental and behavioral 
health, allied health, community health, social work, or 
other fields determined appropriate by the Secretary, 
other than in a position that involves research. 
‘‘(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. 3416. RESEARCH ON THE EFFECT OF WORKFORCE DI-
VERSITY ON QUALITY. 
‘‘(a) IN GENERAL.—The Director of the Agency for 
Healthcare Research and Quality, in collaboration with 
the Deputy Assistant Secretary for Minority Health and 
the Director of the National Institute on Minority Health 
and Health Disparities, shall award grants to eligible enti-
VerDate Sep 11 2014 
23:08 Jul 08, 2020
Jkt 099200
PO 00000
Frm 00155
Fmt 6652
Sfmt 6201
E:\BILLS\H6637.IH
H6637
pbinns on DSKJLVW7X2PROD with BILLS
156 
ties to expand research on the link between health work-
force diversity and quality health care. 
‘‘(b) ELIGIBILITY.—To be eligible to receive a grant 
under subsection (a), an entity shall— 
‘‘(1) be a clinical, public health, or health serv-
ices research entity or other entity determined ap-
propriate by the Director; and 
‘‘(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.—Amounts received under a 
grant awarded under subsection (a) shall be used to sup-
port research that investigates the effect of health work-
force diversity on— 
‘‘(1) language access; 
‘‘(2) cultural competence; 
‘‘(3) patient satisfaction; 
‘‘(4) timeliness of care; 
‘‘(5) safety of care; 
‘‘(6) effectiveness of care; 
‘‘(7) efficiency of care; 
‘‘(8) patient outcomes; 
‘‘(9) community engagement; 
‘‘(10) resource allocation; 
‘‘(11) organizational structure; 
VerDate Sep 11 2014 
23:08 Jul 08, 2020
Jkt 099200
PO 00000
Frm 00156
Fmt 6652
Sfmt 6201
E:\BILLS\H6637.IH
H6637
pbinns on DSKJLVW7X2PROD with BILLS
157 
‘‘(12) compliance of care; or 
‘‘(13) other topics determined appropriate by 
the Director. 
‘‘(d) PRIORITY.—In awarding grants under sub-
section (a), the Director shall give individualized consider-
ation to all relevant aspects of the applicant’s background. 
Consideration of prior research experience involving the 
health of underserved communities shall be such a factor. 
‘‘(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. 3417. HEALTH DISPARITIES EDUCATION PROGRAM. 
‘‘(a) 
ESTABLISHMENT.—The 
Secretary, 
acting 
through the Office of Minority Health, in collaboration 
with the National Institute on Minority Health and Health 
Disparities, the Office for Civil Rights, the Centers for 
Disease Control and Prevention, the Centers for Medicare 
& Medicaid Services, the Health Resources and Services 
Administration, and other appropriate public and private 
entities, shall establish and coordinate a health and health 
care disparities education program to support, develop, 
and implement educational initiatives and outreach strate-
gies that inform health care professionals and the public 
VerDate Sep 11 2014 
23:08 Jul 08, 2020
Jkt 099200
PO 00000
Frm 00157
Fmt 6652
Sfmt 6201
E:\BILLS\H6637.IH
H6637
pbinns on DSKJLVW7X2PROD with BILLS
158 
about the existence of and methods to reduce racial and 
ethnic disparities in health and health care. 
‘‘(b) ACTIVITIES.—The Secretary, through the edu-
cation program established under subsection (a), shall, 
through the use of public awareness and outreach cam-
paigns targeting the general public and the medical com-
munity at large— 
‘‘(1) disseminate scientific evidence for the ex-
istence and extent of racial and ethnic disparities in 
health care, including disparities that are not other-
wise attributable to known factors such as access to 
care, patient preferences, or appropriateness of 
intervention, as described in the 2002 Institute of 
Medicine Report entitled ‘Unequal Treatment: Con-
fronting Racial and Ethnic Disparities in Health 
Care’, as well as the impact of disparities related to 
age, disability status, socioeconomic status, sex, gen-
der identity, and sexual orientation on racial and 
ethnic minorities; 
‘‘(2) disseminate new research findings to 
health care providers and patients to assist them in 
understanding, reducing, and eliminating health and 
health care disparities; 
‘‘(3) disseminate information about the impact 
of linguistic and cultural barriers on health care 
VerDate Sep 11 2014 
23:08 Jul 08, 2020
Jkt 099200
PO 00000
Frm 00158
Fmt 6652
Sfmt 6201
E:\BILLS\H6637.IH
H6637
pbinns on DSKJLVW7X2PROD with BILLS
159 
quality and the obligation of health providers who 
receive Federal financial assistance to ensure that 
individuals with limited English proficiency have ac-
cess to language access services; 
‘‘(4) disseminate information about the impor-
tance and legality of racial, ethnic, disability status, 
socioeconomic status, sex, gender identity, and sex-
ual orientation, and primary language data collec-
tion, analysis, and reporting; 
‘‘(5) design and implement specific educational 
initiatives to health care providers relating to health 
and health care disparities; 
‘‘(6) assess the impact of the programs estab-
lished under this section in raising awareness of 
health and health care disparities and providing in-
formation on available resources; and 
‘‘(7) design and implement specific educational 
initiatives to educate the health care workforce relat-
ing to unconscious bias. 
‘‘(c) 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.’’. 
VerDate Sep 11 2014 
23:08 Jul 08, 2020
Jkt 099200
PO 00000
Frm 00159
Fmt 6652
Sfmt 6201
E:\BILLS\H6637.IH
H6637
pbinns on DSKJLVW7X2PROD with BILLS
160 
SEC. 
302. 
HISPANIC-SERVING 
INSTITUTIONS, 
HISTORI-
CALLY BLACK COLLEGES AND UNIVERSITIES, 
ASIAN AMERICAN AND NATIVE AMERICAN PA-
CIFIC 
ISLANDER-SERVING 
INSTITUTIONS, 
TRIBAL COLLEGES, REGIONAL COMMUNITY- 
BASED ORGANIZATIONS, AND NATIONAL MI-
NORITY MEDICAL ASSOCIATIONS. 
(a) IN GENERAL.—Part B of title VII of the Public 
Health Service Act (42 U.S.C. 293 et seq.) is amended 
by adding at the end the following: 
‘‘SEC. 742. HISPANIC-SERVING INSTITUTIONS, HISTORI-
CALLY BLACK COLLEGES AND UNIVERSITIES, 
ASIAN AMERICAN AND NATIVE AMERICAN PA-
CIFIC 
ISLANDER-SERVING 
INSTITUTIONS, 
AND TRIBAL COLLEGES. 
‘‘(a) IN GENERAL.—The Secretary, acting through 
the Administrator of the Health Resources and Services 
Administration and in consultation with the Secretary of 
Education, shall award grants to Hispanic-serving institu-
tions, historically Black colleges and universities, Asian 
American and Native American Pacific Islander-serving 
institutions, Tribal Colleges or Universities, regional com-
munity-based organizations, and national minority med-
ical associations, for counseling, mentoring and providing 
information on financial assistance to prepare underrep-
resented minority individuals to enroll in and graduate 
VerDate Sep 11 2014 
23:08 Jul 08, 2020
Jkt 099200
PO 00000
Frm 00160
Fmt 6652
Sfmt 6201
E:\BILLS\H6637.IH
H6637
pbinns on DSKJLVW7X2PROD with BILLS
161 
from health professional schools and to increase services 
for underrepresented minority students including— 
‘‘(1) mentoring with underrepresented health 
professionals; and 
‘‘(2) providing financial assistance information 
for continued education and applications to health 
professional schools. 
‘‘(b) DEFINITIONS.—In this section: 
‘‘(1) ASIAN AMERICAN AND NATIVE AMERICAN 
PACIFIC
ISLANDER-SERVING
INSTITUTION.—The 
term ‘Asian American and Native American Pacific 
Islander-serving institution’ has the meaning given 
such term in section 320(b) of the Higher Education 
Act of 1965. 
‘‘(2) 
HISPANIC-SERVING
INSTITUTION.—The 
term ‘Hispanic-serving institution’ means an entity 
that— 
‘‘(A) is a school or program for which 
there is a definition under section 799B; 
‘‘(B) has an enrollment of full-time equiva-
lent students that is made up of at least 9 per-
cent Hispanic students; 
‘‘(C) has been effective in carrying out pro-
grams to recruit Hispanic individuals to enroll 
in and graduate from the school; 
VerDate Sep 11 2014 
23:08 Jul 08, 2020
Jkt 099200
PO 00000
Frm 00161
Fmt 6652
Sfmt 6201
E:\BILLS\H6637.IH
H6637
pbinns on DSKJLVW7X2PROD with BILLS
162 
‘‘(D) has been effective in recruiting and 
retaining Hispanic faculty members; 
‘‘(E) has a significant number of graduates 
who are providing health services to medically 
underserved populations or to individuals in 
health professional shortage areas; and 
‘‘(F) is a Hispanic Center of Excellence in 
Health Professions Education designated under 
section 736(d)(2) of the Public Health Service 
Act (42 U.S.C. 293(d)(2)). 
‘‘(3) HISTORICALLY BLACK COLLEGE AND UNI-
VERSITY.—The term ‘historically Black college and 
university’ has the meaning given the term ‘part B 
institution’ as defined in section 322 of the Higher 
Education Act of 1965. 
‘‘(4) TRIBAL COLLEGE OR UNIVERSITY.—The 
term ‘Tribal College or University’ has the meaning 
given such term in section 316(b) of the Higher 
Education Act of 1965. 
‘‘(c) CERTAIN LOAN REPAYMENT PROGRAMS.—In 
carrying out the National Health Service Corps Loan Re-
payment Program established under subpart III of part 
D of title III and the loan repayment program under sec-
tion 317F, the Secretary shall ensure, notwithstanding 
such subpart or section, that loan repayments of not less 
VerDate Sep 11 2014 
23:08 Jul 08, 2020
Jkt 099200
PO 00000
Frm 00162
Fmt 6652
Sfmt 6201
E:\BILLS\H6637.IH
H6637
pbinns on DSKJLVW7X2PROD with BILLS
163 
than $50,000 per year per person are awarded for repay-
ment of loans incurred for enrollment or participation of 
underrepresented minority individuals in health profes-
sional schools and other health programs described in this 
section. 
‘‘(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 2026.’’. 
SEC. 303. LOAN REPAYMENT PROGRAM OF CENTERS FOR 
DISEASE CONTROL AND PREVENTION. 
Section 317F(c)(1) of the Public Health Service Act 
(42 U.S.C. 247b–7(c)(1)) is amended— 
(1) by striking ‘‘and’’ after ‘‘1994,’’; and 
(2) by inserting before the period at the end the 
following: ‘‘, $750,000 for fiscal year 2020, and such 
sums as may be necessary for each of the fiscal 
years 2021 through 2025’’. 
SEC. 304. COOPERATIVE AGREEMENTS FOR ONLINE DE-
GREE PROGRAMS AT SCHOOLS OF PUBLIC 
HEALTH AND SCHOOLS OF ALLIED HEALTH. 
Part B of title VII of the Public Health Service Act 
(42 U.S.C. 293 et seq.), as amended by section 302, is 
further amended by adding at the end the following: 
VerDate Sep 11 2014 
23:08 Jul 08, 2020
Jkt 099200
PO 00000
Frm 00163
Fmt 6652
Sfmt 6201
E:\BILLS\H6637.IH
H6637
pbinns on DSKJLVW7X2PROD with BILLS
164 
‘‘SEC. 743. COOPERATIVE AGREEMENTS FOR ONLINE DE-
GREE PROGRAMS. 
‘‘(a) COOPERATIVE AGREEMENTS.—The Secretary, 
acting through the Administrator of the Health Resources 
and Services Administration, in consultation with the Di-
rector of the Centers for Disease Control and Prevention, 
the Director of the Agency for Healthcare Research and 
Quality, and the Deputy Assistant Secretary for Minority 
Health, shall enter into cooperative agreements with 
schools of public health and schools of allied health to de-
sign and implement online degree programs. 
‘‘(b) PRIORITY.—In entering into cooperative agree-
ments under this section, the Secretary shall give priority 
to any school of public health or school of allied health 
that has an established track record of serving medically 
underserved communities. 
‘‘(c) REQUIREMENTS.—As a condition of entering 
into a cooperative agreement with the Secretary under this 
section, a school of public health or school of allied health 
shall agree to design and implement an online degree pro-
gram that meets the following restrictions: 
‘‘(1) Enrollment of individuals who have ob-
tained a secondary school diploma or its recognized 
equivalent. 
VerDate Sep 11 2014 
23:08 Jul 08, 2020
Jkt 099200
PO 00000
Frm 00164
Fmt 6652
Sfmt 6201
E:\BILLS\H6637.IH
H6637
pbinns on DSKJLVW7X2PROD with BILLS
165 
‘‘(2) Maintaining a significant enrollment of 
underrepresented minority or disadvantaged stu-
dents. 
‘‘(3) Achieving a high completion rate of en-
rolled underrepresented minority or disadvantaged 
students. 
‘‘(d) AUTHORIZATION OF APPROPRIATIONS.—There 
are authorized to be appropriated to carry out this section 
such sums as may be necessary for each of fiscal years 
2021 through 2025. 
‘‘(e) PERIOD OF GRANTS.—The period during which 
payments are made under a grant awarded may not exceed 
3 years.’’. 
SEC. 305. SENSE OF CONGRESS ON THE MISSION OF THE 
NATIONAL HEALTH CARE WORKFORCE COM-
MISSION. 
It is the sense of Congress that the National Health 
Care Workforce Commission established by section 5101 
of the Patient Protection and Affordable Care Act (42 
U.S.C. 294q) should, in carrying out its assigned duties 
under that section, give attention to the needs of racial 
and ethnic minorities, individuals with lower socio-
economic status, individuals with mental, developmental, 
and 
physical 
disabilities, 
lesbian, 
gay, 
bisexual, 
transgender, queer, and questioning populations, and indi-
VerDate Sep 11 2014 
23:08 Jul 08, 2020
Jkt 099200
PO 00000
Frm 00165
Fmt 6652
Sfmt 6201
E:\BILLS\H6637.IH
H6637
pbinns on DSKJLVW7X2PROD with BILLS
166 
viduals who are members of multiple minority or special 
population groups. 
SEC. 306. SCHOLARSHIP AND FELLOWSHIP PROGRAMS. 
Subtitle B of title XXXIV of the Public Health Serv-
ice Act, as added by section 301, is further amended by 
inserting after section 3417 the following: 
‘‘SEC. 3418. DAVID SATCHER PUBLIC HEALTH AND HEALTH 
SERVICES CORPS. 
‘‘(a) IN GENERAL.—The Director of the Centers for 
Disease Control and Prevention, in collaboration with the 
Administrator of the Health Resources and Services Ad-
ministration and the Deputy Assistant Secretary for Mi-
nority Health, shall award grants to eligible entities to in-
crease awareness among secondary and postsecondary stu-
dents of career opportunities in the health professions. 
‘‘(b) ELIGIBILITY.—To be eligible to receive a grant 
under subsection (a), an entity shall— 
‘‘(1) be a clinical, public health, or health serv-
ices organization, community-based or nonprofit en-
tity, or other entity determined appropriate by the 
Director of the Centers for Disease Control and Pre-
vention; 
‘‘(2) serve a health professional shortage area, 
as determined by the Secretary; 
VerDate Sep 11 2014 
23:08 Jul 08, 2020
Jkt 099200
PO 00000
Frm 00166
Fmt 6652
Sfmt 6201
E:\BILLS\H6637.IH
H6637
pbinns on DSKJLVW7X2PROD with BILLS
167 
‘‘(3) work with students, including those from 
racial and ethnic minority backgrounds, that have 
expressed an interest in the health professions; and 
‘‘(4) 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.—Grant awards under sub-
section (a) shall be used to support internships that will 
increase awareness among students of non-research-based, 
career opportunities in the following health professions: 
‘‘(1) Medicine. 
‘‘(2) Nursing. 
‘‘(3) Public health. 
‘‘(4) Pharmacy. 
‘‘(5) Health administration and management. 
‘‘(6) Health policy. 
‘‘(7) Psychology. 
‘‘(8) Dentistry. 
‘‘(9) International health. 
‘‘(10) Social work. 
‘‘(11) Allied health. 
‘‘(12) Psychiatry. 
‘‘(13) Hospice care. 
‘‘(14) Community health, patient navigation, 
and peer support. 
VerDate Sep 11 2014 
23:08 Jul 08, 2020
Jkt 099200
PO 00000
Frm 00167
Fmt 6652
Sfmt 6201
E:\BILLS\H6637.IH
H6637
pbinns on DSKJLVW7X2PROD with BILLS
168 
‘‘(15) Other professions determined appropriate 
by the Director of the Centers for Disease Control 
and Prevention. 
‘‘(d) PRIORITY.—In awarding grants under sub-
section (a), the Director of the Centers for Disease Con-
trol and Prevention shall give priority to those entities 
that— 
‘‘(1) serve a high proportion of individuals from 
disadvantaged backgrounds; 
‘‘(2) have experience in health disparity elimi-
nation programs; 
‘‘(3) facilitate the entry of disadvantaged indi-
viduals into institutions of higher education; and 
‘‘(4) provide counseling or other services de-
signed to assist disadvantaged individuals in success-
fully completing their education at the postsecondary 
level. 
‘‘(e) STIPENDS.— 
‘‘(1) IN GENERAL.—Subject to paragraph (2), 
an entity receiving a grant under this section may 
use the funds made available through such grant to 
award stipends for educational and living expenses 
to students participating in the internship supported 
by the grant. 
VerDate Sep 11 2014 
23:08 Jul 08, 2020
Jkt 099200
PO 00000
Frm 00168
Fmt 6652
Sfmt 6201
E:\BILLS\H6637.IH
H6637
pbinns on DSKJLVW7X2PROD with BILLS
169 
‘‘(2) LIMITATIONS.—A stipend awarded under 
paragraph (1) to an individual— 
‘‘(A) may not be provided for a period that 
exceeds 6 months; and 
‘‘(B) may not exceed $20 per day for an 
individual (notwithstanding any other provision 
of law regarding the amount of a stipend). 
‘‘(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 2026. 
‘‘SEC. 3419. LOUIS STOKES PUBLIC HEALTH SCHOLARS 
PROGRAM. 
‘‘(a) IN GENERAL.—The Director of the Centers for 
Disease Control and Prevention, in collaboration with the 
Deputy Assistant Secretary for Minority Health, shall 
award scholarships to eligible individuals under subsection 
(b) who seek a career in public health. 
‘‘(b) ELIGIBILITY.—To be eligible to receive a schol-
arship under subsection (a), an individual shall— 
‘‘(1) have interest, knowledge, or skill in public 
health research or public health practice, or other 
health professions as determined appropriate by the 
Director of the Centers for Disease Control and Pre-
vention; 
VerDate Sep 11 2014 
23:08 Jul 08, 2020
Jkt 099200
PO 00000
Frm 00169
Fmt 6652
Sfmt 6201
E:\BILLS\H6637.IH
H6637
pbinns on DSKJLVW7X2PROD with BILLS
170 
‘‘(2) reside in a health professional shortage 
area as determined by the Secretary; 
‘‘(3) demonstrate promise for becoming a leader 
in public health; 
‘‘(4) secure admission to a 4-year institution of 
higher education; and 
‘‘(5) 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.—Amounts received under an 
award under subsection (a) shall be used to support oppor-
tunities for students to become public health professionals. 
‘‘(d) PRIORITY.—In awarding grants under sub-
section (a), the Director shall give priority to those stu-
dents that— 
‘‘(1) are from disadvantaged backgrounds; 
‘‘(2) have secured admissions to a minority- 
serving institution; and 
‘‘(3) have identified a health professional as a 
mentor at their school or institution and an aca-
demic advisor to assist in the completion of their 
baccalaureate degree. 
‘‘(e) SCHOLARSHIPS.—The Secretary may approve 
payment of scholarships under this section for such indi-
viduals for any period of education in student under-
VerDate Sep 11 2014 
23:08 Jul 08, 2020
Jkt 099200
PO 00000
Frm 00170
Fmt 6652
Sfmt 6201
E:\BILLS\H6637.IH
H6637
pbinns on DSKJLVW7X2PROD with BILLS
171 
graduate tenure, except that such a scholarship may not 
be provided to an individual for more than 4 years, and 
such a scholarship may not exceed $10,000 per academic 
year for an individual (notwithstanding any other provi-
sion of law regarding the amount of a scholarship). 
‘‘(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. 3420. PATSY MINK HEALTH AND GENDER RESEARCH 
FELLOWSHIP PROGRAM. 
‘‘(a) IN GENERAL.—The Director of the Centers for 
Disease Control and Prevention, in collaboration with the 
Deputy Assistant Secretary for Minority Health, the As-
sistant Secretary for Mental Health and Substance Use, 
and the Director of the Indian Health Services, shall 
award research fellowships to eligible individuals under 
subsection (b) to conduct research that will examine gen-
der and health disparities and to pursue a career in the 
health professions. 
‘‘(b) ELIGIBILITY.—To be eligible to receive a fellow-
ship under subsection (a), an individual shall— 
‘‘(1) have experience in health research or pub-
lic health practice; 
VerDate Sep 11 2014 
23:08 Jul 08, 2020
Jkt 099200
PO 00000
Frm 00171
Fmt 6652
Sfmt 6201
E:\BILLS\H6637.IH
H6637
pbinns on DSKJLVW7X2PROD with BILLS
172 
‘‘(2) reside in a health professional shortage 
area as designated by the Secretary under section 
332; 
‘‘(3) have expressed an interest in the health 
professions; 
‘‘(4) demonstrate promise for becoming a leader 
in the field of women’s health; 
‘‘(5) secure admission to a health professions 
school or graduate program with an emphasis in 
gender studies; and 
‘‘(6) 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.—A fellowship awarded under 
subsection (a) to an eligible individual shall be used to 
support an opportunity for the individual to become a re-
searcher and advance the research base on the intersection 
between gender and health. 
‘‘(d) PRIORITY.—In awarding fellowships under sub-
section (a), the Director of the Centers for Disease Con-
trol and Prevention shall give priority to those applicants 
that— 
‘‘(1) are from disadvantaged backgrounds; and 
‘‘(2) have identified a mentor and academic ad-
visor who will assist in the completion of their grad-
VerDate Sep 11 2014 
23:08 Jul 08, 2020
Jkt 099200
PO 00000
Frm 00172
Fmt 6652
Sfmt 6201
E:\BILLS\H6637.IH
H6637
pbinns on DSKJLVW7X2PROD with BILLS
173 
uate or professional degree and have secured a re-
search assistant position with a researcher working 
in the area of gender and health. 
‘‘(e) FELLOWSHIPS.—The Director of the Centers for 
Disease Control and Prevention may approve fellowships 
for individuals under this section for any period of edu-
cation in the student’s graduate or health profession ten-
ure, except that such a fellowship may not be provided 
to an individual for more than 3 years, and such a fellow-
ship may not exceed $18,000 per academic year for an 
individual (notwithstanding any other provision of law re-
garding the amount of a fellowship). 
‘‘(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. 3421. PAUL DAVID WELLSTONE INTERNATIONAL 
HEALTH FELLOWSHIP PROGRAM. 
‘‘(a) IN GENERAL.—The Director of the Agency for 
Healthcare Research and Quality, in collaboration with 
the Deputy Assistant Secretary for Minority Health, shall 
award research fellowships to eligible individuals under 
subsection (b) to advance their understanding of inter-
national health. 
VerDate Sep 11 2014 
23:08 Jul 08, 2020
Jkt 099200
PO 00000
Frm 00173
Fmt 6652
Sfmt 6201
E:\BILLS\H6637.IH
H6637
pbinns on DSKJLVW7X2PROD with BILLS
174 
‘‘(b) ELIGIBILITY.—To be eligible to receive a fellow-
ship under subsection (a), an individual shall— 
‘‘(1) have educational experience in the field of 
international health; 
‘‘(2) reside in a health professional shortage 
area as determined by the Secretary; 
‘‘(3) demonstrate promise for becoming a leader 
in the field of international health; 
‘‘(4) be a college senior or recent graduate of 
a 4-year institution of higher education; and 
‘‘(5) 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.—A fellowship awarded under 
subsection (a) to an eligible individual shall be used to 
support an opportunity for the individual to become a 
health professional and to advance the knowledge of the 
individual about international issues relating to health 
care access and quality. 
‘‘(d) PRIORITY.—In awarding fellowships under sub-
section (a), the Director shall give priority to eligible indi-
viduals that— 
‘‘(1) are from a disadvantaged background; and 
‘‘(2) have identified a mentor at a health pro-
fessions school or institution, an academic advisor to 
VerDate Sep 11 2014 
23:08 Jul 08, 2020
Jkt 099200
PO 00000
Frm 00174
Fmt 6652
Sfmt 6201
E:\BILLS\H6637.IH
H6637
pbinns on DSKJLVW7X2PROD with BILLS
175 
assist in the completion of their graduate or profes-
sional degree, and an advisor from an international 
health non-governmental organization, private volun-
teer organization, or other international institution 
or program that focuses on increasing health care 
access and quality for residents in developing coun-
tries. 
‘‘(e) FELLOWSHIPS.—A fellowship awarded under 
this section may not— 
‘‘(1) be provided to an eligible individual for 
more than a period of 6 months; 
‘‘(2) be awarded to a graduate of a 4-year insti-
tution of higher education that has not been enrolled 
in such institution for more than 1 year; and 
‘‘(3) exceed $4,000 per academic year (notwith-
standing any other provision of law regarding the 
amount of a fellowship). 
‘‘(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. 3422. EDWARD R. ROYBAL HEALTH SCHOLAR PRO-
GRAM. 
‘‘(a) IN GENERAL.—The Director of the Agency for 
Healthcare Research and Quality, the Director of the Cen-
VerDate Sep 11 2014 
23:08 Jul 08, 2020
Jkt 099200
PO 00000
Frm 00175
Fmt 6652
Sfmt 6201
E:\BILLS\H6637.IH
H6637
pbinns on DSKJLVW7X2PROD with BILLS
176 
ters for Medicare & Medicaid Services, and the Adminis-
trator of the Health Resources and Services Administra-
tion, in collaboration with the Deputy Assistant Secretary 
for Minority Health, shall award grants to eligible entities 
to expose entering graduate students to the health profes-
sions. 
‘‘(b) ELIGIBILITY.—To be eligible to receive a grant 
under subsection (a), an entity shall— 
‘‘(1) be a clinical, public health, or health serv-
ices organization, community-based, academic, or 
nonprofit entity, or other entity determined appro-
priate by the Director of the Agency for Healthcare 
Research and Quality; 
‘‘(2) serve in a health professional shortage 
area as designated by the Secretary under section 
332; 
‘‘(3) work with students obtaining a degree in 
the health professions; and 
‘‘(4) 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.—Amounts received under a 
grant awarded under subsection (a) shall be used to sup-
port opportunities that expose students to non-research- 
based health professions, including— 
VerDate Sep 11 2014 
23:08 Jul 08, 2020
Jkt 099200
PO 00000
Frm 00176
Fmt 6652
Sfmt 6201
E:\BILLS\H6637.IH
H6637
pbinns on DSKJLVW7X2PROD with BILLS
177 
‘‘(1) public health policy; 
‘‘(2) health care and pharmaceutical policy; 
‘‘(3) health care administration and manage-
ment; 
‘‘(4) health economics; and 
‘‘(5) other professions determined appropriate 
by the Director of the Agency for Healthcare Re-
search and Quality, the Director of the Centers for 
Medicare & Medicaid Services, or the Administrator 
of the Health Resources and Services Administra-
tion. 
‘‘(d) PRIORITY.—In awarding grants under sub-
section (a), the Director of the Agency for Healthcare Re-
search and Quality, the Director of the Centers for Medi-
care & Medicaid Services, and the Administrator of the 
Health Resources and Services Administration, in collabo-
ration with the Deputy Assistant for Secretary for Minor-
ity Health, shall give priority to those entities that— 
‘‘(1) have experience with health disparity elimi-
nation programs; 
‘‘(2) facilitate training in the fields described in 
subsection (c); and 
‘‘(3) provide counseling or other services de-
signed to assist students in successfully completing 
their education at the postsecondary level. 
VerDate Sep 11 2014 
23:08 Jul 08, 2020
Jkt 099200
PO 00000
Frm 00177
Fmt 6652
Sfmt 6201
E:\BILLS\H6637.IH
H6637
pbinns on DSKJLVW7X2PROD with BILLS
178 
‘‘(e) STIPENDS.— 
‘‘(1) IN GENERAL.—Subject to paragraph (2), 
an entity receiving a grant under this section may 
use the funds made available through such grant to 
award stipends for educational and living expenses 
to students participating in the opportunities sup-
ported by the grant. 
‘‘(2) LIMITATIONS.—A stipend awarded under 
paragraph (1) to an individual— 
‘‘(A) may not be provided for a period that 
exceeds 2 months; and 
‘‘(B) may not exceed $100 per day (not-
withstanding any other provision of law regard-
ing the amount of a stipend). 
‘‘(f) AUTHORIZATION OF APPROPRIATIONS.—There 
are authorized to be appropriated to carry out this section 
such sums as may be necessary for each of fiscal years 
2021 through 2025. 
‘‘SEC. 3423. LEADERSHIP FELLOWSHIP PROGRAMS. 
‘‘(a) IN
GENERAL.—The Secretary shall award 
grants to national minority medical or health professional 
associations to develop leadership fellowship programs for 
underrepresented health professionals in order to— 
VerDate Sep 11 2014 
23:08 Jul 08, 2020
Jkt 099200
PO 00000
Frm 00178
Fmt 6652
Sfmt 6201
E:\BILLS\H6637.IH
H6637
pbinns on DSKJLVW7X2PROD with BILLS
179 
‘‘(1) assist such professionals in becoming fu-
ture leaders in public health and health care delivery 
institutions; and 
‘‘(2) increase diversity in decision-making posi-
tions that can improve the health of underserved 
communities. 
‘‘(b) USE OF FUNDS.—A leadership fellowship pro-
gram supported under this section shall— 
‘‘(1) focus on training mid-career physicians 
and health care executives who have documented 
leadership experience and a commitment to public 
health services in underserved communities; and 
‘‘(2) support Federal public health policy and 
budget programs, and priorities that impact health 
equity, through activities such as didactic lectures 
and leader site visits. 
‘‘(c) PERIOD OF GRANTS.—The period during which 
payments are made under a grant awarded under sub-
section (a) may not exceed 3 years. 
‘‘(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 2026.’’. 
VerDate Sep 11 2014 
23:08 Jul 08, 2020
Jkt 099200
PO 00000
Frm 00179
Fmt 6652
Sfmt 6201
E:\BILLS\H6637.IH
H6637
pbinns on DSKJLVW7X2PROD with BILLS
180 
SEC. 307. MCNAIR POSTBACCALAUREATE ACHIEVEMENT 
PROGRAM. 
Section 402E of the Higher Education Act of 1965 
(20 U.S.C. 1070a–15) is amended by striking subsection 
(g) and inserting the following: 
‘‘(g) COLLABORATION IN HEALTH PROFESSION DI-
VERSITY TRAINING PROGRAMS.—The Secretary shall co-
ordinate with the Secretary of Health and Human Serv-
ices to ensure that there is collaboration between the goals 
of the program under this section and programs of the 
Health Resources and Services Administration that pro-
mote health workforce diversity. The Secretary of Edu-
cation shall take such measures as may be necessary to 
encourage students participating in projects assisted 
under this section to consider health profession careers. 
‘‘(h) FUNDING.—From amounts appropriated pursu-
ant to the authority of section 402A(g), the Secretary 
shall, to the extent practicable, allocate funds for projects 
authorized by this section in an amount which is not less 
than $31,000,000 for each of the fiscal years 2021 
through 2026.’’. 
VerDate Sep 11 2014 
23:08 Jul 08, 2020
Jkt 099200
PO 00000
Frm 00180
Fmt 6652
Sfmt 6201
E:\BILLS\H6637.IH
H6637
pbinns on DSKJLVW7X2PROD with BILLS
182 
mination of full-time equivalency if the hos-
pital— 
‘‘(i) is recognized as a subsection (d) 
hospital; 
‘‘(ii) is recognized as a subsection (d) 
Puerto Rico hospital; 
‘‘(iii) is reimbursed under a reim-
bursement system authorized under section 
1814(b)(3); or 
‘‘(iv) is a provider-based hospital out-
patient department.’’. 
(b) 
IME 
DETERMINATIONS.—Section 
1886(d)(5)(B)(xi) of the Social Security Act (42 U.S.C. 
1395ww(d)(5)(B)(xi)), as redesignated by section 204(b), 
is amended— 
(1) in subclause (II), by striking ‘‘In deter-
mining’’ and inserting ‘‘Subject to subclause (IV), in 
determining’’; 
(2) in subclause (III), by striking ‘‘In deter-
mining’’ and inserting ‘‘Subject to subclause (IV), in 
determining’’; and 
(3) by inserting after subclause (III) the fol-
lowing new subclause: 
‘‘(IV) For purposes of cost-reporting peri-
ods beginning on or after October 1, 2021, the 
VerDate Sep 11 2014 
23:08 Jul 08, 2020
Jkt 099200
PO 00000
Frm 00182
Fmt 6652
Sfmt 6201
E:\BILLS\H6637.IH
H6637
pbinns on DSKJLVW7X2PROD with BILLS
183 
provisions of subparagraph (M) of subsection 
(h)(4) shall apply under this subparagraph in 
the same manner as they apply under such sub-
section.’’. 
SEC. 309. DEVELOPING AND IMPLEMENTING STRATEGIES 
FOR LOCAL HEALTH EQUITY. 
(a) GRANTS.—The Secretary of Health and Human 
Services, acting jointly with the Secretary of Education 
and the Secretary of Labor, shall make grants to institu-
tions of higher education for the purposes of— 
(1) in accordance with subsection (b), devel-
oping capacity— 
(A) to build an evidence base for successful 
strategies for increasing local health equity; and 
(B) to serve as national models of driving 
local health equity; 
(2) in accordance with subsection (c), devel-
oping a strategic partnership with the community in 
which the institution is located; and 
(3) collecting data on, and periodically evalu-
ating, the effectiveness of the institution’s programs 
funded through this section to enable the institution 
to adapt accordingly for maximum efficiency and 
success. 
VerDate Sep 11 2014 
23:08 Jul 08, 2020
Jkt 099200
PO 00000
Frm 00183
Fmt 6652
Sfmt 6201
E:\BILLS\H6637.IH
H6637
pbinns on DSKJLVW7X2PROD with BILLS
184 
(b) DEVELOPING CAPACITY FOR INCREASING LOCAL 
HEALTH EQUITY.—As a condition on receipt of a grant 
under subsection (a), an institution of higher education 
shall agree to use the grant to build an evidence base for 
successful strategies for increasing local health equity, and 
to serve as a national model of driving local health equity, 
by supporting— 
(1) resources to strengthen institutional metrics 
and capacity to execute institution-wide health work-
force goals that can serve as models for increasing 
health equity in communities across the United 
States; 
(2) collaborations among a cohort of institu-
tions in implementing systemic change, partnership 
development, and programmatic efforts supportive of 
health equity goals across disciplines and popu-
lations; and 
(3) enhanced or newly developed data systems 
and research infrastructure capable of informing 
current and future workforce efforts and building a 
foundation for a broader research agenda targeting 
urban health disparities. 
(c) STRATEGIC PARTNERSHIPS.—As a condition on 
receipt of a grant under subsection (a), an institution of 
higher education shall agree to use the grant to develop 
VerDate Sep 11 2014 
23:08 Jul 08, 2020
Jkt 099200
PO 00000
Frm 00184
Fmt 6652
Sfmt 6201
E:\BILLS\H6637.IH
H6637
pbinns on DSKJLVW7X2PROD with BILLS
185 
a strategic partnership with the community in which the 
institution is located for the purposes of— 
(1) strengthening connections between the insti-
tution and the community— 
(A) to improve evaluation of and address 
the community’s health and health workforce 
needs; and 
(B) to engage the community in health 
workforce development; 
(2) developing, enhancing, or accelerating inno-
vative undergraduate and graduate programs in the 
biomedical sciences and health professions; and 
(3) strengthening pipeline programs in the bio-
medical sciences and health professions, including by 
developing partnerships between institutions of high-
er education and elementary schools and secondary 
schools to recruit the next generation of health pro-
fessionals earlier in the pipeline to a health care ca-
reer. 
(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 2026. 
VerDate Sep 11 2014 
23:08 Jul 08, 2020
Jkt 099200
PO 00000
Frm 00185
Fmt 6652
Sfmt 6201
E:\BILLS\H6637.IH
H6637
pbinns on DSKJLVW7X2PROD with BILLS
186 
SEC. 310. LOAN FORGIVENESS FOR MENTAL AND BEHAV-
IORAL HEALTH SOCIAL WORKERS. 
Section 455 of the Higher Education Act of 1965 (20 
U.S.C. 1087e) is amended by adding at the end the fol-
lowing: 
‘‘(r) REPAYMENT PLAN FOR MENTAL AND BEHAV-
IORAL HEALTH SOCIAL WORKERS.— 
‘‘(1) IN GENERAL.—The Secretary shall cancel 
the balance of interest and principal due, in accord-
ance with paragraph (2), on any eligible Federal Di-
rect Loan not in default for a borrower who— 
‘‘(A) has made 120 monthly payments on 
the eligible Federal Direct Loan after October 
1, 2020, pursuant to any one or a combination 
of the following— 
‘‘(i) payments under an income-based 
repayment plan under section 493C; 
‘‘(ii) payments under a standard re-
payment plan under subsection (d)(1)(A), 
based on a 10-year repayment period; 
‘‘(iii) monthly payments under a re-
payment plan under subsection (d)(1) or 
(g) of not less than the monthly amount 
calculated 
under 
subsection 
(d)(1)(A), 
based on a 10-year repayment period; or 
VerDate Sep 11 2014 
23:08 Jul 08, 2020
Jkt 099200
PO 00000
Frm 00186
Fmt 6652
Sfmt 6201
E:\BILLS\H6637.IH
H6637
pbinns on DSKJLVW7X2PROD with BILLS
187 
‘‘(iv) payments under an income con-
tingent repayment plan under subsection 
(d)(1)(D); and 
‘‘(B)(i) is employed as a mental health or 
behavioral health social worker, as defined by 
the Secretary by regulation, at the time of such 
forgiveness; and 
‘‘(ii) has been employed as such a mental 
health or behavioral health social worker during 
the period in which the borrower makes each of 
the 120 payments as described in subparagraph 
(A). 
‘‘(2) LOAN CANCELLATION AMOUNT.—After the 
conclusion of the employment period described in 
paragraph (1), the Secretary shall cancel the obliga-
tion to repay the balance of principal and interest 
due as of the time of such cancellation, on the eligi-
ble Federal Direct Loans made to the borrower 
under this part. 
‘‘(3) INELIGIBILITY FOR DOUBLE BENEFITS.— 
No borrower may, for the same employment as a 
mental health or behavioral health social worker, re-
ceive a reduction of loan obligations under both this 
subsection and subsection (m), 428J, 428K, 428L, 
or 460. 
VerDate Sep 11 2014 
23:08 Jul 08, 2020
Jkt 099200
PO 00000
Frm 00187
Fmt 6652
Sfmt 6201
E:\BILLS\H6637.IH
H6637
pbinns on DSKJLVW7X2PROD with BILLS
188 
‘‘(4) DEFINITION
OF
ELIGIBLE
FEDERAL
DI-
RECT LOAN.—In this subsection, the term ‘eligible 
Federal Direct Loan’ means a Federal Direct Staf-
ford Loan, Federal Direct PLUS Loan, Federal Di-
rect Unsubsidized Stafford Loan, or a Federal Di-
rect Consolidation Loan.’’. 
SEC. 311. HEALTH PROFESSIONS WORKFORCE FUND. 
(a) ESTABLISHMENT.—There is established in the 
Health Resources and Services Administration of the De-
partment of Health and Human Services a Health Profes-
sions Workforce Fund to provide for expanded and sus-
tained national investment in the health professions and 
nursing workforce development programs under title VII 
and title VIII of the Public Health Service Act (42 U.S.C. 
292 et seq.; 42 U.S.C. 296 et seq.). 
(b) FUNDING.— 
(1) IN GENERAL.—There is authorized to be 
appropriated, and there is appropriated, out of any 
monies in the Treasury not otherwise appropriated, 
to the Health Professions Workforce Fund— 
(A) $355,000,000 for fiscal year 2021; 
(B) $375,000,000 for fiscal year 2022; 
(C) $392,000,000 for fiscal year 2023; 
(D) $412,000,000 for fiscal year 2024; 
(E) $432,000,000 for fiscal year 2025; 
VerDate Sep 11 2014 
23:08 Jul 08, 2020
Jkt 099200
PO 00000
Frm 00188
Fmt 6652
Sfmt 6201
E:\BILLS\H6637.IH
H6637
pbinns on DSKJLVW7X2PROD with BILLS
189 
(F) $454,000,000 for fiscal year 2026; 
(G) $476,000,000 for fiscal year 2027; 
(H) $500,000,000 for fiscal year 2028; 
(I) $525,000,000 for fiscal year 2029; and 
(J) $552,000,000 for fiscal year 2030. 
(2) HEALTH
PROFESSIONS
EDUCATION
PRO-
GRAMS.—For the purpose of carrying out health 
professions education programs authorized under 
title VII of the Public Health Service Act, in addi-
tion to any other amounts authorized to be appro-
priated for such purpose, there is authorized to be 
appropriated out of any monies in the Health Pro-
fessions Workforce Fund, the following: 
(A) $240,000,000 for fiscal year 2021. 
(B) $253,000,000 for fiscal year 2022. 
(C) $265,000,000 for fiscal year 2023. 
(D) $278,000,000 for fiscal year 2024. 
(E) $292,000,000 for fiscal year 2025. 
(F) $307,000,000 for fiscal year 2026. 
(G) $322,000,000 for fiscal year 2027. 
(H) $338,000,000 for fiscal year 2028. 
(I) $355,000,000 for fiscal year 2029. 
(J) $373,000,000 for fiscal year 2030. 
(3) NURSING WORKFORCE DEVELOPMENT PRO-
GRAMS.—For the purpose of carrying out nursing 
VerDate Sep 11 2014 
23:08 Jul 08, 2020
Jkt 099200
PO 00000
Frm 00189
Fmt 6652
Sfmt 6201
E:\BILLS\H6637.IH
H6637
pbinns on DSKJLVW7X2PROD with BILLS
190 
workforce development programs authorized under 
Title VIII of the Public Health Service Act, in addi-
tion to any other amounts authorized to be appro-
priated for such purpose, there is authorized to be 
appropriated out of any monies in the Health Pro-
fessions Workforce Fund, the following: 
(A) $115,000,000 for fiscal year 2021. 
(B) $122,000,000 for fiscal year 2022. 
(C) $127,000,000 for fiscal year 2023. 
(D) $134,000,000 for fiscal year 2024. 
(E) $140,000,000 for fiscal year 2025. 
(F) $147,000,000 for fiscal year 2026. 
(G) $154,000,000 for fiscal year 2027. 
(H) $162,000,000 for fiscal year 2028. 
(I) $170,000,000 for fiscal year 2029. 
(J) $179,000,000 for fiscal year 2030. 
SEC. 312. FINDINGS; SENSE OF CONGRESS RELATING TO 
GRADUATE MEDICAL EDUCATION. 
(a) FINDINGS.—Congress finds the following: 
(1) Projections by the Association of American 
Medical Colleges and other expert entities, such as 
the Health Resources and Services Administration, 
have indicated a nationwide shortage of up to 
121,900 physicians, split evenly between primary 
care and specialists, by 2032. 
VerDate Sep 11 2014 
23:08 Jul 08, 2020
Jkt 099200
PO 00000
Frm 00190
Fmt 6652
Sfmt 6201
E:\BILLS\H6637.IH
H6637
pbinns on DSKJLVW7X2PROD with BILLS
191 
(2) Primarily due to the growing and aging 
population, over the next decade, physician demand 
is expected to grow up to 17 percent. 
(3) The United States Census Bureau estimates 
that the United States population will grow from 
321 million in 2015 to 347 million in 2025. Further, 
the number of Medicare beneficiaries is estimated to 
increase from 47,800,000 in 2015 to approximately 
66,000,000 in 2025. 
(4) Approximately 36 percent of practicing phy-
sicians are over the age of 55 and are likely to retire 
within the next decade. 
(5) A nationwide physician shortage will result 
in many people in the United States waiting longer 
and traveling farther for health care; seeking non-
emergent care in emergency departments; and delay-
ing treatment until their health care needs become 
more serious, complex, and costly. 
(6) Changing demographics (such as an aging 
population), new health care delivery models (such 
as medical homes), and other factors (such as dis-
aster preparedness) are contributing to a shortage of 
both generalist and specialist physicians. 
(7) These shortages will have the most severe 
impact on vulnerable and underserved populations, 
VerDate Sep 11 2014 
23:08 Jul 08, 2020
Jkt 099200
PO 00000
Frm 00191
Fmt 6652
Sfmt 6201
E:\BILLS\H6637.IH
H6637
pbinns on DSKJLVW7X2PROD with BILLS
192 
including racial and ethnic minorities and the ap-
proximately 20 percent of people in the United 
States who live in rural or inner-city locations des-
ignated as health professional shortage areas. 
(8) The health care utilization equity model of 
the Association of American Medical Colleges esti-
mates that if racial and ethnic minorities and indi-
viduals from rural areas utilized health care in a 
similar way to their Caucasian counterparts living in 
metropolitan areas, the physician shortage would re-
quire an additional 96,000 physicians. 
(9) To address the physician shortage in rural 
and medically underserved areas, medical education 
and training need to be accessible to underrep-
resented minorities (African American, Hispanic, 
Native American, and Native Hawaiian), and need 
to increase pathway programs for underrepresented 
minorities who make up less than 12 percent as well 
as for international medical graduates who make up 
25 percent of graduate medical education. Immigra-
tion pathways like student, exchange-visitor, and em-
ployment visas, and programs like the National In-
terest Waiver and Conrad 30 J–1 Visa Waiver, help 
improve health access across the United States. 
VerDate Sep 11 2014 
23:08 Jul 08, 2020
Jkt 099200
PO 00000
Frm 00192
Fmt 6652
Sfmt 6201
E:\BILLS\H6637.IH
H6637
pbinns on DSKJLVW7X2PROD with BILLS
193 
(10) United States medical school enrollment 
will grow by 30 percent from 2018 to 2019 to help 
reduce the shortage of quality physicians in the 
United States. 
(11) An increase in United States medical 
school graduates must be accompanied by an in-
crease of 4,000 graduate medical education training 
positions each year. 
(12) Graduate medical education programs and 
teaching hospitals provide venues in which the next 
generation of physicians learns to work collabo-
ratively with other physicians and health profes-
sionals, adopt more efficient care delivery models 
(such as care coordination and medical homes), in-
corporate health information technology and elec-
tronic health records in every aspect of their work, 
apply new methods of assuring quality and safety, 
and participate in groundbreaking clinical and public 
health research. 
(13) The Medicare program under title XVIII 
of the Social Security Act (42 U.S.C. 1395 et seq.) 
(having more beneficiaries than any other health 
care program), supports its ‘‘fair share’’ of the costs 
associated with graduate medical education. 
VerDate Sep 11 2014 
23:08 Jul 08, 2020
Jkt 099200
PO 00000
Frm 00193
Fmt 6652
Sfmt 6201
E:\BILLS\H6637.IH
H6637
pbinns on DSKJLVW7X2PROD with BILLS
194 
(14) In general, the level of support of graduate 
medical education by the Medicare program has 
been capped since 1997 and has not been increased 
to support the expansion of graduate medical edu-
cation programs needed to avert the projected physi-
cian shortage or to accommodate the increase in 
United States medical school graduates. 
(b) SENSE OF CONGRESS.—It is the sense of Con-
gress that eliminating the limit of the number of residency 
positions that receive some level of Medicare support 
under section 1886(h) of the Social Security Act (42 
U.S.C. 1395ww(h)), also referred to as the Medical grad-
uate medical education cap, is critical to— 
(1) ensuring an appropriate supply of physi-
cians to meet the health care needs in the United 
States; 
(2) facilitating equitable access for all who seek 
health care; and 
(3) mitigating disparities in health and health 
care. 
SEC. 313. CAREER SUPPORT FOR SKILLED, INTERNATION-
ALLY EDUCATED HEALTH PROFESSIONALS. 
(a) FINDINGS.—Congress finds the following: 
(1) According to the Association of Schools and 
Programs of Public Health, projections indicate a 
VerDate Sep 11 2014 
23:08 Jul 08, 2020
Jkt 099200
PO 00000
Frm 00194
Fmt 6652
Sfmt 6201
E:\BILLS\H6637.IH
H6637
pbinns on DSKJLVW7X2PROD with BILLS
195 
nationwide shortage of up to 250,000 public health 
workers needed by 2020. 
(2) Similar trends are projected for other health 
professions indicating shortages across disciplines, 
including within the fields of nursing (500,000 by 
2025), dentistry (15,000 by 2025), pharmacy 
(38,000 by 2030), mental and behavioral health, pri-
mary care (46,000 by 2025), and community and al-
lied health. 
(3) A nationwide health workforce shortage will 
result in serious health threats and more severe and 
costly health care needs, due to, in part, a delayed 
response to food-borne outbreaks, emerging infec-
tious diseases, natural disasters, fewer cancer 
screenings, and delayed treatment. 
(4) Vulnerable and underserved populations and 
health professional shortage areas will be most se-
verely impacted by the health workforce shortage. 
(5) According to the Migration Policy Institute, 
more than 2,000,000 college-educated immigrants in 
the United States today are unemployed or under-
employed in low- or semi-skilled jobs that fail to 
draw on their education and expertise. 
VerDate Sep 11 2014 
23:08 Jul 08, 2020
Jkt 099200
PO 00000
Frm 00195
Fmt 6652
Sfmt 6201
E:\BILLS\H6637.IH
H6637
pbinns on DSKJLVW7X2PROD with BILLS
196 
(6) Approximately 2 out of every 5 internation-
ally educated immigrants are unemployed or under-
employed. 
(7) According to the Drexel University Center 
for Labor Markets and Policy, underemployment for 
internationally educated immigrant women is 28 per-
cent higher than for their male counterparts. 
(8) According to the Drexel University Center 
for Labor Markets and Policy, the mean annual 
earnings 
of 
underemployed 
immigrants 
were 
$32,000, or 43 percent less than United States born 
college graduates employed in the college labor mar-
ket. 
(9) According to Upwardly Global and the Wel-
come Back Initiative, with proper guidance and sup-
port, underemployed skilled immigrants typically in-
crease their income by 215 percent to 900 percent. 
(10) According to the Brookings Institution and 
the Partnership for a New American Economy, im-
migrants working in the health workforce are, on av-
erage, better educated than United States-born 
workers in the health workforce. 
(b) GRANTS TO ELIGIBLE ENTITIES.— 
(1) AUTHORITY
TO
PROVIDE
GRANTS.—The 
Secretary of Health and Human Services, acting 
VerDate Sep 11 2014 
23:08 Jul 08, 2020
Jkt 099200
PO 00000
Frm 00196
Fmt 6652
Sfmt 6201
E:\BILLS\H6637.IH
H6637
pbinns on DSKJLVW7X2PROD with BILLS
197 
through the Bureau of Health Workforce within the 
Health Resources and Services Administration, the 
National Institute on Minority Health and Health 
Disparities, or the Office of Minority Health (in this 
section referred to as the ‘‘Secretary’’), may award 
grants to eligible entities to carry out activities de-
scribed in subsection (c). 
(2) ELIGIBILITY.—To be eligible to receive a 
grant under this section, an entity shall— 
(A) be a clinical, public health, or health 
services organization, a community-based or 
nonprofit entity, an academic institution, a 
faith-based organization, a State, county, or 
local government, an area health education cen-
ter, or another entity determined appropriate by 
the Secretary; and 
(B) submit to the Secretary an application 
at such time, in such manner, and containing 
such information as the Secretary may require. 
(c) AUTHORIZED ACTIVITIES.—A grant awarded 
under this section shall be used— 
(1) to provide services to assist unemployed and 
underemployed skilled immigrants, residing in the 
United States, who have legal, permanent work au-
thorization and who are internationally educated 
VerDate Sep 11 2014 
23:08 Jul 08, 2020
Jkt 099200
PO 00000
Frm 00197
Fmt 6652
Sfmt 6201
E:\BILLS\H6637.IH
H6637
pbinns on DSKJLVW7X2PROD with BILLS
210 
waiver, which are designated by the Sec-
retary of Health and Human Services as 
having a shortage of health care profes-
sionals; and 
‘‘(iv) agrees to be employed for the re-
mainder of such 3-year period, and 1 addi-
tional year for each termination under 
clause (ii).’’. 
(d) ALLOTMENT OF CONRAD 30 WAIVERS.— 
(1) IN GENERAL.—Section 214(l) of the Immi-
gration and Nationality Act (8 U.S.C. 1184(l)), as 
amended by subsection (d), is further amended by 
adding at the end the following: 
‘‘(8)(A)(i) All States shall be allotted a total of 35 
waivers under paragraph (1)(B) for a fiscal year if 90 per-
cent of the waivers available to the States receiving at 
least 5 waivers were used in the previous fiscal year. 
‘‘(ii) When an allotment occurs under clause (i), all 
States shall be allotted an additional 5 waivers under 
paragraph (1)(B) for each subsequent fiscal year if 90 
percent of the waivers available to the States receiving at 
least 5 waivers were used in the previous fiscal year. If 
the States are allotted 45 or more waivers for a fiscal year, 
the States will only receive an additional increase of 5 
waivers the following fiscal year if 95 percent of the waiv-
VerDate Sep 11 2014 
23:08 Jul 08, 2020
Jkt 099200
PO 00000
Frm 00210
Fmt 6652
Sfmt 6201
E:\BILLS\H6637.IH
H6637
pbinns on DSKJLVW7X2PROD with BILLS
211 
ers available to the States receiving at least 1 waiver were 
used in the previous fiscal year. 
‘‘(B) Any increase in allotments under subparagraph 
(A) shall be maintained indefinitely, unless in a fiscal year, 
the total number of such waivers granted is 5 percent 
lower than in the last year in which there was an increase 
in the number of waivers allotted pursuant to this para-
graph, in which case— 
‘‘(i) the number of waivers allotted shall be de-
creased by five for all States beginning in the next 
fiscal year; and 
‘‘(ii) each additional 5 percent decrease in such 
waivers granted from the last year in which there 
was an increase in the allotment, shall result in an 
additional decrease of 5 waivers allotted for all 
States, provided that the number of waivers allotted 
for all States shall not drop below 30.’’. 
(2) ACADEMIC
MEDICAL
CENTERS.—Section 
214(l)(1)(D) of such Act is amended— 
(A) in clause (ii), by striking ‘‘and’’ at the 
end; 
(B) in clause (iii), by striking the period at 
the end and inserting ‘‘; and’’; and 
(C) by adding at the end the following: 
VerDate Sep 11 2014 
23:08 Jul 08, 2020
Jkt 099200
PO 00000
Frm 00211
Fmt 6652
Sfmt 6201
E:\BILLS\H6637.IH
H6637
pbinns on DSKJLVW7X2PROD with BILLS
273 
(1) INPATIENT
HOSPITAL
SERVICES.—Section 
1814 of the Social Security Act (42 U.S.C. 1395f) 
is amended by adding at the end the following new 
subsection: 
‘‘Payment for Inpatient Services Furnished in Rural 
Community Hospitals 
‘‘(m) The amount of payment under this part for in-
patient hospital services furnished in a rural community 
hospital, other than such services furnished in a psy-
chiatric or rehabilitation unit of the hospital which is a 
distinct part, is, at the election of the hospital in the appli-
cation referred to in section 1861(kkk)(1)(E)— 
‘‘(1) 101 percent of the reasonable costs of pro-
viding such services, without regard to the amount 
of the customary or other charge, or 
‘‘(2) the amount of payment provided for under 
the prospective payment system for inpatient hos-
pital services under section 1886(d).’’. 
(2) OUTPATIENT SERVICES.—Section 1834 of 
such Act (42 U.S.C. 1395m) is amended by adding 
at the end the following new subsection: 
‘‘(j) PAYMENT
FOR OUTPATIENT SERVICES FUR-
NISHED
IN
RURAL
COMMUNITY
HOSPITALS.—The 
amount of payment under this part for outpatient services 
furnished in a rural community hospital is, at the election 
VerDate Sep 11 2014 
23:08 Jul 08, 2020
Jkt 099200
PO 00000
Frm 00273
Fmt 6652
Sfmt 6201
E:\BILLS\H6637.IH
H6637
pbinns on DSKJLVW7X2PROD with BILLS