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SEC. 802. REPORTING REQUIREMENTS FOR PDP SPONSORS 
REGARDING 
POINT-OF-SALE 
REJECTIONS 
UNDER MEDICARE PART D. 
Section 1860D–4(g) of the Social Security Act (42 
U.S.C. 1395w–104(g)) is amended by adding at the end 
the following new paragraph: 
‘‘(3) REPORTING
REQUIREMENTS
REGARDING 
POINT-OF-SALE REJECTIONS.— 
‘‘(A) IN GENERAL.—With respect to a plan 
year beginning on or after January 1, 2020, a 
PDP sponsor offering a prescription drug plan 
shall submit to the Secretary, in a form and 
manner specified by the Secretary, information 
on point-of-sale rejections made during a period 
of time occurring in such plan year (as specified 
by the Secretary), including each of the fol-
lowing: 
‘‘(i) The reason for each point-of-sale 
rejection. 
‘‘(ii) Identifying information for each 
drug with respect to which a point-of-sale 
rejection was made. 
‘‘(iii) With respect to applicable types 
of point-of-sale rejections (as specified by 
the Secretary), each of the following: 
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‘‘(I) Whether such a rejection 
was consistent with the formulary of 
the plan (as approved by the Sec-
retary). 
‘‘(II) Whether a coverage deter-
mination or appeal of a coverage de-
termination was requested for the 
drug with respect to which such a re-
jection was made. 
‘‘(III) The outcome of any such 
coverage determination or appeal of a 
coverage determination. 
‘‘(IV) The length of time between 
when such a rejection was made and 
when the drug with respect to which 
such rejection was made is dispensed, 
as applicable. 
‘‘(B) PUBLIC AVAILABILITY OF INFORMA-
TION.—The Secretary shall make publicly avail-
able on the public website of the Centers for 
Medicare & Medicaid Services information sub-
mitted under subparagraph (A). 
‘‘(C) USE
OF
INFORMATION.—The Sec-
retary may use information submitted under 
subparagraph (A), as determined appropriate, 
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in developing measures for the 5-star rating 
system under section 1853(o)(4). 
‘‘(D) IMPLEMENTATION.—Notwithstanding 
any other provision of law, the Secretary may 
implement this paragraph through program in-
struction or otherwise. 
‘‘(E) FUNDING.—The are authorized to be 
appropriated to the Secretary from the Federal 
Supplementary Medical Insurance Trust Fund 
under section 1841 such sums as may be nec-
essary to implement this paragraph.’’. 
SEC. 803. PROVIDING ACCESS TO ANNUAL MEDICARE NOTI-
FICATIONS IN MULTIPLE LANGUAGES. 
(a) IN GENERAL.—Section 1804 of the Social Secu-
rity Act (42 U.S.C. 1395b–2) is amended by adding at 
the end the following new subsection: 
‘‘(e) The notice provided under subsection (a) shall 
be translated into languages in addition to English and 
Spanish. In carrying out the previous sentence, the Sec-
retary shall prioritize translation of the notice into lan-
guages in which documents provided by the Commissioner 
of Social Security are translated and language that are 
the most frequently requested for translation for purposes 
of applying for old-age insurance benefits under title II.’’. 
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(b) EFFECTIVE DATE.—The amendment made by 
subsection (a) shall apply to notices distributed prior to 
each Medicare open enrollment period beginning after 
January 1, 2020. 
SEC. 804. TEMPORARY INCREASE IN MEDICARE PART B 
PAYMENT FOR CERTAIN BIOSIMILAR BIO-
LOGICAL PRODUCTS. 
Section 1847A(b)(8) of the Social Security Act (42 
U.S.C. 1395w–3a(b)(8)) is amended— 
(1) by redesignating subparagraphs (A) and 
(B) as clauses (i) and (ii), respectively, and moving 
the margin of each such redesignated clause 2 ems 
to the right; 
(2) by striking ‘‘PRODUCT.—The amount’’ and 
inserting the following: ‘‘PRODUCT.— 
‘‘(A) IN
GENERAL.—Subject to subpara-
graph (B), the amount’’; and 
(3) by adding at the end the following new sub-
paragraph: 
‘‘(B) TEMPORARY PAYMENT INCREASE.— 
‘‘(i) IN GENERAL.—In the case of a 
qualifying biosimilar biological product 
that is furnished during the applicable 5- 
year period for such product, the amount 
specified in this paragraph for such prod-
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uct with respect to such period is the sum 
determined under subparagraph (A), ex-
cept that clause (ii) of such subparagraph 
shall be applied by substituting ‘8 percent’ 
for ‘6 percent’. 
‘‘(ii) APPLICABLE 5-YEAR PERIOD.— 
For purposes of clause (i), the applicable 
5-year period for a biosimilar biological 
product is— 
‘‘(I) in the case of such a product 
for which payment was made under 
this paragraph as of December 31, 
2019, the 5-year period beginning on 
January 1, 2020; and 
‘‘(II) in the case of such a prod-
uct for which payment is first made 
under this paragraph during a cal-
endar quarter during the period be-
ginning January 1, 2020, and ending 
December 31, 2024, the 5-year period 
beginning on the first day of such cal-
endar quarter during which such pay-
ment is first made. 
‘‘(iii) QUALIFYING
BIOSIMILAR
BIO-
LOGICAL
PRODUCT
DEFINED.—For pur-
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poses of this subparagraph, the term 
‘qualifying biosimilar biological product’ 
means a biosimilar biological product de-
scribed in paragraph (1)(C) with respect to 
which— 
‘‘(I) in the case of a product de-
scribed in clause (ii)(I), the average 
sales price is not more than the aver-
age sales price for the reference bio-
logical product; and 
‘‘(II) in the case of a product de-
scribed in clause (ii)(II), the wholesale 
acquisition cost is not more than the 
wholesale acquisition cost for the ref-
erence biological product.’’. 
SEC. 
805. 
WAIVING 
MEDICARE 
COINSURANCE 
FOR 
COLORECTAL CANCER SCREENING TESTS. 
Section 1833(a) of the Social Security Act (42 U.S.C. 
1395l(a)) is amended— 
(1) in the second sentence, by striking ‘‘section 
1834(0)’’ and inserting ‘‘section 1834(o)’’; 
(2) by moving such second sentence 2 ems to 
the left; and 
(3) by inserting the following third sentence fol-
lowing such second sentence: ‘‘For services furnished 
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on or after January 1, 2021, paragraph (1)(Y) shall 
apply with respect to a colorectal cancer screening 
test regardless of the code that is billed for the es-
tablishment of a diagnosis as a result of the test, or 
for the removal of tissue or other matter or other 
procedure that is furnished in connection with, as a 
result of, and in the same clinical encounter as the 
screening test.’’. 
SEC. 
806. 
MEDICARE 
COVERAGE 
OF 
CERTAIN 
LYMPHEDEMA 
COMPRESSION 
TREATMENT 
ITEMS. 
(a) COVERAGE.— 
(1) IN GENERAL.—Section 1861 of the Social 
Security Act (42 U.S.C. 1395x), as amended by sec-
tion 601 and section 603, is further amended— 
(A) in subsection (s)(2)— 
(i) in subparagraph (II), by striking 
‘‘and’’ after the semicolon at the end; 
(ii) in subparagraph (JJ), by striking 
the period at the end and inserting ‘‘; 
and’’; and 
(iii) by adding at the end the fol-
lowing new subparagraph: 
‘‘(KK) lymphedema compression treatment 
items (as defined in subsection (mmm));’’; and 
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(B) by adding at the end the following new 
subsection: 
‘‘(mmm) LYMPHEDEMA COMPRESSION TREATMENT 
ITEMS.—The term ‘lymphedema compression treatment 
items’ means compression garments, devices, bandaging 
systems, components, and supplies, including multilayer 
compression bandaging systems, standard fit gradient 
compression garments, and other compression garments, 
devices, bandaging systems, components, or supplies (as 
determined by the Secretary), that are— 
‘‘(1) furnished on or after January 1, 2022, to 
an individual with a diagnosis of lymphedema for the 
treatment of such condition; 
‘‘(2) primarily and customarily used in the 
medical treatment of lymphedema, as determined by 
the Secretary; and 
‘‘(3) prescribed by a physician (or a physician 
assistant, nurse practitioner, or a clinical nurse spe-
cialist (as those terms are defined in section 
1861(aa)(5)) to the extent authorized under State 
law).’’. 
(2) PAYMENT.— 
(A) IN GENERAL.—Section 1833(a)(1) of 
the 
Social 
Security 
Act 
(42 
U.S.C. 
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1395l(a)(1)), as amended by section 601(c)(1), 
is further amended— 
(i) by striking ‘‘and’’ before ‘‘(DD)’’; 
and 
(ii) by inserting before the semicolon 
at the end the following: ‘‘, and (EE) with 
respect to lymphedema compression treat-
ment 
items 
(as 
defined 
in 
section 
1861(mmm)), the amount paid shall be 
equal to 80 percent of the lesser of the ac-
tual charge or the amount determined 
under the payment basis determined under 
section 1834(z)’’. 
(B) PAYMENT BASIS AND LIMITATIONS.— 
Section 1834 of the Social Security Act (42 
U.S.C. 1395m), as amended by sections 
601(c)(2) and 603(c), is further amended by 
adding at the end the following new subsection: 
‘‘(z) PAYMENT
FOR LYMPHEDEMA COMPRESSION 
TREATMENT ITEMS.— 
‘‘(1) IN GENERAL.—The Secretary shall deter-
mine an appropriate payment basis for lymphedema 
compression treatment items (as defined in section 
1861(mmm)). In making such a determination, the 
Secretary may take into account payment rates for 
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such items under State plans (or waivers of such 
plans) under title XIX, the Veterans Health Admin-
istration, and group health plans and health insur-
ance coverage (as such terms are defined in section 
2791 of the Public Health Service Act), and such 
other information as the Secretary determines ap-
propriate. 
‘‘(2) FREQUENCY
LIMITATION.—No payment 
may be made under this part for lymphedema com-
pression treatment items furnished other than at 
such frequency as the Secretary may establish. 
‘‘(3) APPLICATION OF COMPETITIVE ACQUISI-
TION.—In the case of lymphedema compression 
treatment items that are included in a competitive 
acquisition program in a competitive acquisition area 
under section 1847(a)— 
‘‘(A) the payment basis under this sub-
section for such items furnished in such area 
shall be the payment basis determined under 
such competitive acquisition program; and 
‘‘(B) the Secretary may use information on 
the payment determined under such competitive 
acquisition programs to adjust the payment 
amount otherwise determined under this sub-
section for an area that is not a competitive ac-
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quisition area under section 1847, and in the 
case of such adjustment, paragraphs (8) and 
(9) of section 1842(b) shall not be applied.’’. 
(3) CONFORMING AMENDMENTS.— 
(A) EXCLUSIONS.—Section 1862(a)(1) of 
the 
Social 
Security 
Act 
(42 
U.S.C. 
1395y(a)(1)), as amended by section 601(f) and 
section 603(g), is further amended— 
(i) in subparagraph (Q), by striking 
‘‘and’’ at the end; 
(ii) in subparagraph (R), by striking 
the semicolon and inserting ‘‘, and’’; and 
(iii) by adding at the end the fol-
lowing new subparagraph: 
‘‘(S) in the case of lymphedema compression 
treatment items (as defined in section 1861(mmm)), 
which are furnished more frequently than is estab-
lished pursuant to section 1834(z)(2);’’. 
(B) APPLICATION OF COMPETITIVE ACQUI-
SITION.— 
(i) IN GENERAL.—Section 1847(a)(2) 
of the Social Security Act (42 U.S.C. 
1395w–3(a)(2)), as amended by sections 
601(e)(2)(B)(ii), 
602(b)(3)(B)(i), 
and 
603(f)(2)(B), is further amended by add-
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ing at the end the following new subpara-
graph: 
‘‘(G) LYMPHEDEMA COMPRESSION TREAT-
MENT ITEMS.—Lymphedema compression treat-
ment items (as defined in section 1861(mmm)) 
for which payment would otherwise be made 
under section 1834(z).’’. 
(b) INCLUSION IN REQUIREMENTS FOR SUPPLIERS 
OF
MEDICAL
EQUIPMENT
AND
SUPPLIES.—Section 
1834(j)(5) of the Social Security Act (42 U.S.C. 
1395m(j)(5)) is amended— 
(1) by redesignating subparagraphs (E) and 
(F) as subparagraphs (F) and (G), respectively; and 
(2) by inserting after subparagraph (D) the fol-
lowing new subparagraph: 
‘‘(E) lymphedema compression treatment 
items (as defined in section 1861(mmm));’’. 
(c) STUDY AND REPORT ON IMPLEMENTATION.— 
(1) STUDY.—The Secretary of Health and 
Human Services (in this section referred to as the 
‘‘Secretary’’) shall conduct a study on the implemen-
tation of Medicare coverage of certain lymphedema 
compression treatment items under the amendments 
made by this Act. Such study shall include an eval-
uation of the following: 
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(A) Medicare beneficiary utilization of 
items and services under parts A and B of title 
XVIII of the Social Security Act as a result of 
the implementation of such amendments. 
(B) Whether the Secretary has determined, 
pursuant to section 1861(mmm) of the Social 
Security Act, as added by subsection (a)(1), 
that lymphedema compression treatment items 
other than compression bandaging systems and 
standard fit gradient compression garments are 
covered under such section. 
(2) REPORT.—Not later than January 1, 2024, 
the Secretary shall submit to Congress and make 
available to the public a report on the study con-
ducted under paragraph (1). 
SEC. 807. PHYSICIAN FEE UPDATE. 
Section 1848(d)(19) of the Social Security Act (42 
U.S.C. 1395w–4(d)(19)) is amended to read as follows: 
‘‘(19) UPDATE FOR 2020 THROUGH 2025.—The 
update to the single conversion factor established in 
paragraph (1)(C)— 
‘‘(A) for each of 2020 through 2022 shall 
be 0.5 percent; and 
‘‘(B) for each of 2023 through 2025 shall 
be 0.0 percent.’’. 
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SEC. 
808. 
ADDITIONAL 
COMMUNITY 
HEALTH 
CENTER 
FUNDING. 
Section 10503 of the Patient Protection and Afford-
able Care Act (42 U.S.C. 254b–2) is amended by striking 
subsection (c) and inserting the following: 
‘‘(c) ADDITIONAL ENHANCED FUNDING; CAPITAL 
PROJECTS.—There is authorized to be appropriated, and 
there is appropriated, out of any monies in the Treasury 
not otherwise appropriated, to the CHC Fund— 
‘‘(1) to be transferred to the Secretary of 
Health and Human Services to provide additional 
enhanced funding for the community health center 
program under section 330 of the Public Health 
Service Act, $1,000,000,000 for each of fiscal years 
2021 through 2025; and 
‘‘(2) to be transferred to the Secretary of 
Health and Human Services for capital projects of 
the community health center program under section 
330 
of 
the 
Public 
Health 
Service 
Act, 
$5,000,000,000 for the period of fiscal years 2021 
through 2025.’’. 
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SEC. 809. GRANTS TO IMPROVE TRAUMA SUPPORT SERV-
ICES AND MENTAL HEALTH CARE FOR CHIL-
DREN AND YOUTH IN EDUCATIONAL SET-
TINGS. 
(a) 
GRANTS, 
CONTRACTS, 
AND
COOPERATIVE 
AGREEMENTS AUTHORIZED.—The Secretary, in coordina-
tion with the Assistant Secretary for Mental Health and 
Substance Use, is authorized to award grants to, or enter 
into contracts or cooperative agreements with, State edu-
cational agencies, local educational agencies, Indian Tribes 
(as defined in section 4 of the Indian Self-Determination 
and Education Assistance Act) or their tribal educational 
agencies, a school operated by the Bureau of Indian Edu-
cation, a Regional Corporation, or a Native Hawaiian edu-
cational organization, for the purpose of increasing stu-
dent access to evidence-based trauma support services and 
mental health care by developing innovative initiatives, ac-
tivities, or programs to link local school systems with local 
trauma-informed support and mental health systems, in-
cluding those under the Indian Health Service. 
(b) DURATION.—With respect to a grant, contract, 
or cooperative agreement awarded or entered into under 
this section, the period during which payments under such 
grant, contract, or agreement are made to the recipient 
may not exceed 4 years. 
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(c) USE OF FUNDS.—An entity that receives a grant, 
contract, or cooperative agreement under this section shall 
use amounts made available through such grant, contract, 
or cooperative agreement for evidence-based activities, 
which shall include any of the following: 
(1) Collaborative efforts between school-based 
service systems and trauma-informed support and 
mental health service systems to provide, develop, or 
improve prevention, screening, referral, and treat-
ment and support services to students, such as pro-
viding trauma screenings to identify students in 
need of specialized support. 
(2) To implement schoolwide positive behavioral 
interventions and supports, or other trauma-in-
formed models of support. 
(3) To provide professional development to 
teachers, teacher assistants, school leaders, special-
ized instructional support personnel, and mental 
health professionals that— 
(A) fosters safe and stable learning envi-
ronments that prevent and mitigate the effects 
of trauma, including through social and emo-
tional learning; 
(B) improves school capacity to identify, 
refer, and provide services to students in need 
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of trauma support or behavioral health services; 
or 
(C) reflects the best practices for trauma- 
informed identification, referral, and support 
developed by the Interagency Task Force on 
Trauma-Informed Care. 
(4) Services at a full-service community school 
that focuses on trauma-informed supports, which 
may include a full-time site coordinator, or other ac-
tivities consistent with section 4625 of the Elemen-
tary and Secondary Education Act of 1965 (20 
U.S.C. 7275). 
(5) Engaging families and communities in ef-
forts to increase awareness of child and youth trau-
ma, which may include sharing best practices with 
law enforcement regarding trauma-informed care 
and working with mental health professionals to pro-
vide interventions, as well as longer term coordi-
nated care within the community for children and 
youth who have experienced trauma and their fami-
lies. 
(6) To provide technical assistance to school 
systems and mental health agencies. 
(7) To evaluate the effectiveness of the program 
carried out under this section in increasing student 
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access to evidence-based trauma support services 
and mental health care. 
(8) To establish partnerships with or provide 
subgrants to Head Start agencies (including Early 
Head Start agencies), public and private preschool 
programs, child care programs (including home- 
based providers), or other entities described in sub-
section (a), to include such entities described in this 
paragraph in the evidence-based trauma initiatives, 
activities, support services, and mental health sys-
tems established under this section in order to pro-
vide, develop, or improve prevention, screening, re-
ferral, and treatment and support services to young 
children and their families. 
(d) APPLICATIONS.—To be eligible to receive a grant, 
contract, or cooperative agreement under this section, an 
entity described in subsection (a) shall submit an applica-
tion to the Secretary at such time, in such manner, and 
containing such information as the Secretary may reason-
ably require, which shall include the following: 
(1) A description of the innovative initiatives, 
activities, or programs to be funded under the grant, 
contract, or cooperative agreement, including how 
such program will increase access to evidence-based 
trauma support services and mental health care for 
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students, and, as applicable, the families of such stu-
dents. 
(2) A description of how the program will pro-
vide linguistically appropriate and culturally com-
petent services. 
(3) A description of how the program will sup-
port students and the school in improving the school 
climate in order to support an environment condu-
cive to learning. 
(4) An assurance that— 
(A) persons providing services under the 
grant, contract, or cooperative agreement are 
adequately trained to provide such services; and 
(B) teachers, school leaders, administra-
tors, specialized instructional support personnel, 
representatives of local Indian Tribes or tribal 
organizations as appropriate, other school per-
sonnel, and parents or guardians of students 
participating in services under this section will 
be engaged and involved in the design and im-
plementation of the services. 
(5) A description of how the applicant will sup-
port and integrate existing school-based services 
with the program in order to provide mental health 
services for students, as appropriate. 
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(6) A description of the entities in the commu-
nity with which the applicant will partner or to 
which the applicant will provide subgrants in accord-
ance with subsection (c)(8). 
(e) INTERAGENCY AGREEMENTS.— 
(1) LOCAL
INTERAGENCY
AGREEMENTS.—To 
ensure the provision of the services described in sub-
section (c), a recipient of a grant, contract, or coop-
erative agreement under this section, or their des-
ignee, shall establish a local interagency agreement 
among local educational agencies, agencies respon-
sible for early childhood education programs, Head 
Start agencies (including Early Head Start agen-
cies), juvenile justice authorities, mental health 
agencies, child welfare agencies, and other relevant 
agencies, authorities, or entities in the community 
that will be involved in the provision of such serv-
ices. 
(2) CONTENTS.—In ensuring the provision of 
the services described in subsection (c), the local 
interagency agreement shall specify with respect to 
each agency, authority, or entity that is a party to 
such agreement— 
(A) the financial responsibility for the serv-
ices; 
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(B) the conditions and terms of responsi-
bility for the services, including quality, ac-
countability, and coordination of the services; 
and 
(C) the conditions and terms of reimburse-
ment among such agencies, authorities, or enti-
ties, including procedures for dispute resolution. 
(f) EVALUATION.—The Secretary shall reserve not 
more than 3 percent of the funds made available under 
subsection (l) for each fiscal year to— 
(1) conduct a rigorous, independent evaluation 
of the activities funded under this section; and 
(2) disseminate and promote the utilization of 
evidence-based practices regarding trauma support 
services and mental health care. 
(g) DISTRIBUTION OF AWARDS.—The Secretary shall 
ensure that grants, contracts, and cooperative agreements 
awarded or entered into under this section are equitably 
distributed among the geographical regions of the United 
States and among tribal, urban, suburban, and rural pop-
ulations. 
(h) RULE OF CONSTRUCTION.—Nothing in this sec-
tion shall be construed— 
(1) to prohibit an entity involved with a pro-
gram carried out under this section from reporting 
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a crime that is committed by a student to appro-
priate authorities; or 
(2) to prevent Federal, State, and tribal law en-
forcement and judicial authorities from exercising 
their responsibilities with regard to the application 
of Federal, tribal, and State law to crimes com-
mitted by a student. 
(i) SUPPLEMENT, NOT SUPPLANT.—Any services 
provided through programs carried out under this section 
shall supplement, and not supplant, existing mental health 
services, including any special education and related serv-
ices provided under the Individuals with Disabilities Edu-
cation Act (20 U.S.C. 1400 et seq.). 
(j) CONSULTATION WITH INDIAN TRIBES.—In car-
rying out subsection (a), the Secretary shall, in a timely 
manner, meaningfully consult with Indian Tribes and their 
representatives to ensure notice of eligibility. 
(k) DEFINITIONS.—In this section: 
(1) ELEMENTARY SCHOOL.—The term ‘‘elemen-
tary school’’ has the meaning given such term in 
section 8101 of the Elementary and Secondary Edu-
cation Act of 1965 (20 U.S.C. 7801). 
(2) EVIDENCE-BASED.—The term ‘‘evidence- 
based’’ has the meaning given such term in section 
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8101(21)(A)(i) of the Elementary and Secondary 
Education Act of 1965 (20 U.S.C. 7801(21)(A)(i)). 
(3) NATIVE HAWAIIAN EDUCATIONAL ORGANI-
ZATION.—The term ‘‘Native Hawaiian educational 
organization’’ has the meaning given such term in 
section 6207 of the Elementary and Secondary Edu-
cation Act of 1965 (20 U.S.C. 7517). 
(4) LOCAL EDUCATIONAL AGENCY.—The term 
‘‘local educational agency’’ has the meaning given 
such term in section 8101 of the Elementary and 
Secondary Education Act of 1965 (20 U.S.C. 7801). 
(5) REGIONAL CORPORATION.—The term ‘‘Re-
gional Corporation’’ has the meaning given the term 
in section 3 of the Alaska Native Claims Settlement 
Act (43 U.S.C. 1602). 
(6) SCHOOL.—The term ‘‘school’’ means a pub-
lic elementary school or public secondary school. 
(7) SCHOOL LEADER.—The term ‘‘school lead-
er’’ has the meaning given such term in section 
8101 of the Elementary and Secondary Education 
Act of 1965 (20 U.S.C. 7801). 
(8) SECONDARY
SCHOOL.—The term ‘‘sec-
ondary school’’ has the meaning given such term in 
section 8101 of the Elementary and Secondary Edu-
cation Act of 1965 (20 U.S.C. 7801). 
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(9) SECRETARY.—The term ‘‘Secretary’’ means 
the Secretary of Education. 
(10) SPECIALIZED
INSTRUCTIONAL
SUPPORT 
PERSONNEL.—The term ‘‘specialized instructional 
support personnel’’ has the meaning given such term 
in section 8101 of the Elementary and Secondary 
Education Act of 1965 (20 U.S.C. 7801). 
(11) STATE EDUCATIONAL AGENCY.—The term 
‘‘State educational agency’’ has the meaning given 
such term in section 8101 of the Elementary and 
Secondary Education Act of 1965 (20 U.S.C. 7801). 
(l) AUTHORIZATION OF APPROPRIATIONS.—There is 
authorized to be appropriated, and there is appropriated, 
out of any money in the Treasury not otherwise appro-
priated, to carry out this section, $20,000,000 for each 
of fiscal years 2021 through 2025. 
SEC. 810. PATHWAY TO HEALTH CAREERS ACT. 
(a) SHORT TITLE.—This section may be cited as the 
‘‘Pathways to Health Careers Act’’. 
(b) EXTENSION THROUGH FISCAL YEAR 2020 OF 
FUNDING FOR DEMONSTRATION PROJECTS TO ADDRESS 
HEALTH PROFESSIONS WORKFORCE NEEDS.— 
(1) IN
GENERAL.—Section 2008(c)(1) of the 
Social Security Act (42 U.S.C. 1397g(c)(1)) is 
amended by striking ‘‘2019.’’ and inserting ‘‘2020, 
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and to provide technical assistance and cover admin-
istrative costs associated with implementing the suc-
cessor to this section $15,000,000 for fiscal year 
2020.’’. 
(2) AVAILABILITY
OF
OTHER
FUNDS.—Upon 
the date of the enactment of this section— 
(A) amounts expended pursuant to section 
1501 of division B of Public Law 116–59, or 
any other prior law making amounts available 
for fiscal year 2020 for activities authorized by 
section 2008 of the Social Security Act, shall be 
charged to the appropriation made by sub-
section (c)(1) of such section 2008 for fiscal 
year 2020 (not including the amount for tech-
nical assistance and administrative costs); and 
(B) if such enactment occurs on or before 
November 21, 2019, the availability of funds 
appropriated in, and the authority provided 
under, such section 1501 shall terminate. 
(c) CAREER PATHWAYS THROUGH HEALTH PROFES-
SION OPPORTUNITY GRANTS.—Effective October 1, 2020, 
section 2008 of the Social Security Act (42 U.S.C. 1397g) 
is amended to read as follows: 
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‘‘SEC. 2008. CAREER PATHWAYS THROUGH HEALTH PRO-
FESSION OPPORTUNITY GRANTS. 
‘‘(a) APPLICATION REQUIREMENTS.—An eligible en-
tity desiring a grant under this section for a project shall 
submit to the Secretary an application for the grant, that 
includes the following: 
‘‘(1) A description of how the applicant will use 
a career pathways approach to train eligible individ-
uals for health professions that pay well or will put 
eligible individuals on a career path to an occupation 
that pays well, under the project. 
‘‘(2) A description of the adult basic education 
and literacy activities, work readiness activities, 
training activities, and case management and career 
coaching services that the applicant will use to assist 
eligible individuals to gain work experience, connec-
tion to employers, and job placement, and a descrip-
tion of the plan for recruiting, hiring, and training 
staff to provide the case management, mentoring, 
and career coaching services, under the project di-
rectly or through local governmental, apprenticeship, 
educational, or charitable institutions. 
‘‘(3) In the case of an application for a grant 
under this section for a demonstration project de-
scribed in subsection (c)(2)(B)(i)(I)— 
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‘‘(A) a demonstration that the State in 
which the demonstration project is to be con-
ducted has in effect policies or laws that permit 
certain allied health and behavioral health care 
credentials to be awarded to people with certain 
arrest or conviction records (which policies or 
laws shall include appeals processes, waivers, 
certificates, and other opportunities to dem-
onstrate rehabilitation to obtain credentials, li-
censure, and approval to work in the proposed 
health careers), and a plan described in the ap-
plication that will use a career pathway to as-
sist participants with such a record in acquiring 
credentials, licensing, and employment in the 
specified careers; 
‘‘(B) a discussion of how the project or fu-
ture strategic hiring decisions will demonstrate 
the experience and expertise of the project in 
working with job seekers who have arrest or 
conviction records or employers with experience 
working with people with arrest or conviction 
records; 
‘‘(C) an identification of promising innova-
tions or best practices that can be used to pro-
vide the training; 
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‘‘(D) a proof of concept or demonstration 
that the applicant has done sufficient research 
on workforce shortage or in-demand jobs for 
which people with certain types of arrest or 
conviction records can be hired; 
‘‘(E) a plan for recruiting students who 
are eligible individuals into the project; and 
‘‘(F) a plan for providing post-employment 
support and ongoing training as part of a ca-
reer pathway under the project. 
‘‘(4) In the case of an application for a grant 
under this section for a demonstration project de-
scribed in subsection (c)(2)(B)(i)(II)— 
‘‘(A) a description of the partnerships, 
strategic staff hiring decisions, tailored program 
activities, or other programmatic elements of 
the project, such as training plans for doulas 
and other community health workers and train-
ing plans for midwives and other allied health 
professions, that are designed to support a ca-
reer pathway in pregnancy, birth, or post- 
partum services; and 
‘‘(B) a demonstration that the State in 
which the demonstration project is to be con-
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mitted by the entities that meet the require-
ments applicable with respect to such a grant. 
‘‘(C) GUARANTEE OF GRANTEES IN THE 
TERRITORIES.—From 
the 
amount 
reserved 
under subsection (i)(2)(C) for each fiscal year, 
the Secretary shall award a grant under this 
paragraph to at least 2 eligible entities that are 
located in a territory, to the extent there are a 
sufficient number of applications submitted by 
the entities that meet the requirements applica-
ble with respect to such a grant. 
‘‘(2) 
GRANTS
FOR
DEMONSTRATION 
PROJECTS.— 
‘‘(A) GRANT AUTHORITY.—The Secretary, 
in consultation with the Secretary of Labor and 
the Secretary of Education (and, with respect 
to demonstration projects of the type described 
in subparagraph (B)(i)(I), the Attorney Gen-
eral) shall make a grant in accordance with this 
subsection to an eligible entity whose applica-
tion for the grant is approved by the Secretary, 
to conduct a demonstration project that meets 
the requirements of subparagraph (B). 
‘‘(B) REQUIREMENTS.—The requirements 
of this subparagraph are the following: 
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‘‘(D) on the employment of project partici-
pants on completion of activities under the 
projects, and the earnings of project partici-
pants at entry into employment; 
‘‘(E) on best practices and promising prac-
tices used in the projects; 
‘‘(F) on the nature of any technical assist-
ance provided to grantees under this section; 
‘‘(G) on, with respect to the period since 
the period covered in the most recent prior re-
port submitted under this paragraph— 
‘‘(i) the number of applications sub-
mitted under this section, with a separate 
statement of the number of applications re-
ferred to in subsection (b)(5); 
‘‘(ii) the number of applications that 
were approved, with a separate statement 
of the number of such applications referred 
to in subsection (b)(5); and 
‘‘(iii) a description of how grants were 
made in any case described in the last sen-
tence of subsection (c)(1)(A)(ii); and 
‘‘(H) that includes an assessment of the ef-
fectiveness of the projects with respect to ad-
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