I 
119TH CONGRESS 
1ST SESSION H. R. 5428 
To amend the Public Health Service Act to establish a grant program to 
award grants to accredited public institutions of higher education, and 
for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
SEPTEMBER 17, 2025 
Mr. COLE (for himself and Ms. TITUS) introduced the following bill; which 
was referred to the Committee on Energy and Commerce 
A BILL 
To amend the Public Health Service Act to establish a grant 
program to award grants to accredited public institutions 
of higher education, and for other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Medical Student Edu-
cation Authorization Act of 2025’’. 
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SEC. 2. EDUCATION PROGRAM TO SUPPORT PRIMARY 
HEALTH 
CARE 
FOR 
MEDICALLY 
UNDER-
SERVED COMMUNITIES. 
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. EDUCATION PROGRAM TO SUPPORT PRIMARY 
HEALTH 
CARE 
FOR 
MEDICALLY 
UNDER-
SERVED COMMUNITIES. 
‘‘(a) 
ESTABLISHMENT.—The 
Secretary, 
acting 
through the Administrator of the Health Resources and 
Services Administration (in this section referred to as the 
‘Secretary’) shall establish a grant program to award 
grants to accredited public institutions of higher education 
to carry out the activities described in subsection (d) for 
the purposes of— 
‘‘(1) supporting education for medical students 
who are preparing to become physicians; and 
‘‘(2) preparing and encouraging each such stu-
dent trained by a grantee to serve in a Tribal, rural, 
or medically underserved community as a primary 
care physician after completing residency training. 
‘‘(b) ELIGIBILITY.—In order to be eligible to receive 
a grant under this section, an accredited public institution 
of higher education shall— 
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‘‘(1) be located in a State that is in the top 
quartile of States with a projected shortage of pri-
mary care physicians, as determined by the Sec-
retary; and 
‘‘(2) submit an application to the Secretary at 
such time, in such manner, and containing such in-
formation as the Secretary may require, that in-
cludes— 
‘‘(A) a certification that such institution 
will use amounts provided to the institution 
through the grant to carry out the activities de-
scribed in subsection (d); and 
‘‘(B) a description of how such institution 
will carry out such activities. 
‘‘(c) PRIORITY.—In awarding grants under this sec-
tion, the Secretary shall give priority to accredited public 
institutions of higher education that meet the eligibility 
requirements of subsection (b) and— 
‘‘(1) are located in a State with not fewer than 
2 Indian Tribes or Tribal organizations (as such 
terms are defined in section 4 of the Indian Self-De-
termination and Education Assistance Act); and 
‘‘(2) have established, or demonstrate plans to 
establish, a strategic partnership with entities de-
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scribed in subsection (d)(4) that supports the pur-
poses described in subsection (a). 
‘‘(d) USE OF FUNDS.—An eligible entity that receives 
a grant under this section shall, as appropriate, use the 
funds made available under such grant to carry out the 
following activities: 
‘‘(1) Support community-based training for 
medical students who will practice in or serve Tribal, 
rural, or medically underserved communities. 
‘‘(2) Develop and operate programs to train 
medical students in the provision of primary care 
services, which may include developing training pro-
grams and activities that— 
‘‘(A) emphasize care for Tribal, rural, or 
medically underserved communities; 
‘‘(B) are applicable to primary care prac-
tice with respect to individuals from Tribal, 
rural, or medically underserved communities; 
and 
‘‘(C) promote interdisciplinary training. 
‘‘(3) Increase the capacity of faculty to develop 
and operate programs described in paragraph (2). 
‘‘(4) Develop strategic partnerships, such as 
public-private partnerships, to improve health out-
comes for individuals from Tribal, rural, or medi-
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cally underserved communities, which partnerships 
may include— 
‘‘(A) federally recognized Tribes, Tribal 
Colleges or Universities (as such term is defined 
in section 316 of the Higher Education Act of 
1965), and Tribal organizations (as such term 
is defined in section 4 of the Indian Self-Deter-
mination and Education Assistance Act); 
‘‘(B) Federally qualified health centers; 
‘‘(C) rural health clinics; 
‘‘(D) health facilities or programs operated 
by or in accordance with a contract or grant 
with the Indian Health Service; and 
‘‘(E) primary care clinics. 
‘‘(5) Develop a plan, as appropriate, for fol-
lowup with graduates, including with respect to spe-
cialties, as applicable. 
‘‘(6) Develop, implement, and evaluate methods 
to improve recruitment and retention of medical stu-
dents from Tribal, rural, or medically underserved 
communities. 
‘‘(7) Train and support instructors to serve 
Tribal, rural, or medically underserved communities. 
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‘‘(8) Prepare medical students for transition 
into primary care residency training and future 
practice. 
‘‘(9) Provide scholarships to medical students. 
‘‘(e) GRANT PERIOD.—A grant under this section 
shall be awarded for a period of not more than 5 years. 
‘‘(f) GRANT AMOUNT.—Each fiscal year, the amount 
of a grant made to an eligible entity under this section 
shall be not less than $1,000,000. 
‘‘(g) MATCHING
REQUIREMENT.—The Secretary 
shall, as appropriate, require that an eligible entity receiv-
ing a grant under this section provide non-Federal match-
ing funds, which may be in cash or in kind, in an amount 
that is not more than 10 percent of the total amount of 
Federal funds provided through the grant each fiscal year. 
‘‘(h) AUTHORIZATION OF APPROPRIATIONS.—There 
is authorized to be appropriated to carry out this section 
$75,000,000 for each of fiscal years 2026 through 2028.’’. 
Æ 
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