(i) Care should be safe. 
(ii) Care should be effective. 
(iii) Care should be patient-centered. 
(iv) Care should be timely. 
(v) Care should be efficient. 
(vi) Care should be equitable. 
SEC. 6. USE OF TELEMEDICINE TO ENHANCE CRITICAL 
CARE SERVICES IN RURAL AREAS. 
(a) AMENDMENT TO RURAL UTILITIES SERVICE DIS-
TANCE
LEARNING
AND
TELEMEDICINE
PROGRAM.— 
Chapter 1 of subtitle D of title XXIII of the Food, Agri-
culture, Conservation, and Trade Act of 1990 (7 U.S.C. 
950aaa et seq.) is amended by adding at the end the fol-
lowing: 
‘‘SEC. 2335B. ADDITIONAL AUTHORIZATION OF APPROPRIA-
TIONS FOR TELEMEDICINE CRITICAL CARE 
INITIATIVES. 
‘‘In addition to amounts authorized under section 
2335A, there is authorized to be appropriated $5,000,000 
in each of fiscal years 2008 through 2013 to carry out 
telemedicine initiatives under this chapter whereby 1 or 
more rural providers of inpatient critical care services pro-
pose, through collaboration with other providers, to aug-
ment the delivery of critical care services in the rural inpa-
tient setting through the use of telecommunications sys-
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tems that allow for consultation with critical care pro-
viders not located in the rural facility regarding the care 
of such patients.’’. 
(b) AMENDMENT TO TELEHEALTH NETWORK GRANT 
PROGRAM.—Section 330I(i)(1)(B) of the Public Health 
Service Act (42 U.S.C. 254c–14(i)(1)(B)) is amended by 
striking the period at the end and inserting ‘‘, or that aug-
ment the delivery of critical care services in rural inpatient 
settings through consultation with providers located else-
where.’’. 
SEC. 7. INCREASING THE SUPPLY OF CRITICAL CARE PRO-
VIDERS. 
Section 338B of the Public Health Service Act (42 
U.S.C. 254l–1) is amended by adding at the end the fol-
lowing: 
‘‘(i) CRITICAL CARE INITIATIVE.— 
‘‘(1) ESTABLISHMENT.—The Secretary shall 
undertake an initiative that has as its goal the an-
nual recruitment of not less than 50 providers of 
critical care services into the National Health Serv-
ice Corps Loan Repayment Program. Providers re-
cruited pursuant to this initiative shall be additional 
to, and not detract from, existing recruitment activi-
ties otherwise authorized by this section. 
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‘‘(2) CLARIFYING AMENDMENT.—The initiative 
described in paragraph (1) shall be undertaken pur-
suant to the authority of this section, and for pur-
poses of the initiative— 
‘‘(A) the term ‘primary health services’ as 
used in subsection (a) shall be understood to in-
clude critical care services; and 
‘‘(B) ‘an approved graduate training pro-
gram’ as that term is used in subsection 
(b)(1)(B) shall be limited to pulmonary fellow-
ships or critical care fellowships, or both, for 
physicians.’’. 
SEC. 8. AUTHORIZATION OF APPROPRIATIONS. 
There are authorized to be appropriated to carry out 
this Act— 
(1) $5,000,000 for the research to be conducted 
under section 4; and 
(2) $4,000,000 for the demonstration projects 
authorized under section 5. 
Æ 
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