‘‘(vi) other purposes related to ex-
penses incurred in the planning and deliv-
ery of the educational program and associ-
ated clinical visits, as the Secretary deter-
mines appropriate. 
‘‘(C) TERM.—A grant under this section 
shall be for a period of 5-years. 
‘‘(D) RURAL AREAS.—The Secretary shall 
ensure that at least half of the recipients of a 
grant under this section are eligible Federally- 
qualified health centers located in a rural area 
or rural health clinics, or affiliated organiza-
tions acting on behalf of such centers. 
‘‘(c) PHYSICIAN PARTICIPATION IN PROGRAM.— 
‘‘(1) ELIGIBILITY.—To be eligible to participate 
in an accredited continuing medical education pro-
gram offered under this section, a physician or other 
primary care or behavioral health care provider shall 
be a primary care provider— 
‘‘(A) who is employed by the grantee; and 
‘‘(B) who serves patients in a medically 
underserved population (as defined in section 
330(b)(3)). 
‘‘(2) CME CREDIT.— 
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‘‘(A) IN
GENERAL.—The Secretary shall 
require a grantee under this section to identify 
an accrediting body that the grantee will work 
with to certify the program under the grant in 
a manner that provides continuing medical edu-
cation credits to providers participating in the 
program. Such certification shall include mate-
rial with respect to specific skills development. 
‘‘(B) REPORTING.—As part of the annual 
reporting under subsection (b)(3)(A)(iv) a 
grantee shall provide to the Secretary informa-
tion to confirm the accredited continuing med-
ical education entity used by the grantee. 
‘‘(C) SUSPENSION OF FUNDING FOR NON-
COMPLIANCE.—The Secretary may suspend 
grant funding if the grantee fails to provide for 
accredited continuing medical education within 
the first year of the grant. Such grant funding 
may be reinstated by the Secretary once the 
grantee certifies that accredited continuing 
medical education is provided. 
‘‘(d) ANNUAL REPORTING.—Beginning 1 year after 
the date of enactment of the Improving Access to Health 
Care in Rural and Underserved Areas Act, and every year 
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thereafter, the Secretary shall submit to Congress a report 
on the program under this section, including— 
‘‘(1) the number of physicians who participate 
in the program each year and the specialties of such 
physicians; 
‘‘(2) a breakdown of specialist time spent di-
rectly with patients, with patients through telemedi-
cine, and with primary care providers in classroom 
or other non-clinical setting during the program ses-
sions; 
‘‘(3) a comparison of measures under the Uni-
form Data System of the Health Resources and 
Services Administration, or similar program, rel-
evant to patient care improvements, between the 
year prior to the implementation of the program 
under this section and the most recent year in the 
program; 
‘‘(4) a summary of any clinical practice changes 
or notable improvements in patient care; 
‘‘(5) patient referrals from health centers that 
participate in the program to outside specialist care, 
and any patient care provided at the health center 
that, prior to the program, would have been referred 
to outside specialists; 
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‘‘(6) retention rates of physicians at partici-
pating health centers; and 
‘‘(7) satisfaction rates of physicians with the 
education program at participating health centers. 
‘‘(e) AUTHORIZATION
OF
APPROPRIATIONS.—To 
carry out this section, there are authorized to be appro-
priated $20,000,000 for each of fiscal years 2021 through 
2025.’’. 
Æ 
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