I 
118TH CONGRESS 
1ST SESSION H. R. 4985 
To establish a grant program to support schools of medicine and schools 
of osteopathic medicine in underserved areas. 
IN THE HOUSE OF REPRESENTATIVES 
JULY 27, 2023 
Mr. COSTA (for himself, Mr. CARTER of Louisiana, Mr. VARGAS, Mr. GOMEZ, 
Ms. SEWELL, and Ms. GARCIA of Texas) introduced the following bill; 
which was referred to the Committee on Energy and Commerce 
A BILL 
To establish a grant program to support schools of medicine 
and schools of osteopathic medicine in underserved areas. 
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 ‘‘Expanding Medical 
Education Act’’. 
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SEC. 2. GRANTS FOR SCHOOLS OF MEDICINE AND SCHOOLS 
OF 
OSTEOPATHIC 
MEDICINE 
IN 
UNDER-
SERVED AREAS. 
Subpart II of part C of title VII of the Public Health 
Service Act (42 U.S.C. 293m et seq.) is amended by add-
ing at the end the following: 
‘‘SEC. 749C. GRANTS FOR SCHOOLS OF MEDICINE AND 
SCHOOLS OF OSTEOPATHIC MEDICINE IN UN-
DERSERVED AREAS. 
‘‘(a) IN GENERAL.—The Secretary may award grants 
to institutions of higher education (including consortiums 
of such institutions) for the establishment, improvement, 
or expansion of a school of medicine or osteopathic medi-
cine, or a branch campus of a school of medicine or osteo-
pathic medicine. 
‘‘(b) PRIORITY.—In selecting grant recipients under 
this section, the Secretary shall give priority to any insti-
tution of higher education (or consortium of such institu-
tions) that— 
‘‘(1) proposes to use the grant for the establish-
ment of a school of medicine or osteopathic medi-
cine, or a branch campus of a school of medicine or 
osteopathic medicine, in an area— 
‘‘(A) in which— 
‘‘(i) no other such school is based; or 
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‘‘(ii) in the case in which the school of 
medicine or osteopathic medicine proposed 
to be established would be a minority-serv-
ing institution, no other minority-serving 
institution that includes a school of medi-
cine or osteopathic medicine is based; and 
‘‘(B) that is a medically underserved com-
munity or a health professional shortage area; 
or 
‘‘(2) is a minority-serving institution described 
in section 371(a) of the Higher Education Act of 
1965 or an institution or program described in sec-
tion 326(e) of such Act. 
‘‘(c) CONSIDERATIONS.—In awarding grants under 
this section, the Secretary, to the extent practicable, may 
ensure equitable distribution of awards among the geo-
graphical regions of the United States. 
‘‘(d) USE OF FUNDS.—An institution of higher edu-
cation (or a consortium of such institutions)— 
‘‘(1) shall use grant amounts received under 
this section to— 
‘‘(A) recruit, enroll, and retain medical 
students who are pursuing a degree of doctor of 
medicine or doctor of osteopathy, including in-
dividuals who are from disadvantaged back-
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grounds (including racial and ethnic groups 
underrepresented among medical students and 
health professions), individuals from rural and 
underserved areas, low-income individuals, and 
first generation college students, at a school of 
medicine or osteopathic medicine or branch 
campus of a school of medicine or osteopathic 
medicine; and 
‘‘(B) develop, implement, and expand cur-
riculum that emphasizes care for rural and un-
derserved populations, including accessible and 
culturally and linguistically appropriate care 
and services, at such school or branch campus; 
and 
‘‘(2) may use grant amounts received under this 
section to— 
‘‘(A) plan and construct— 
‘‘(i) a school of medicine or osteo-
pathic medicine, or a branch campus of a 
school of medicine or osteopathic medicine, 
in an area in which no other such school 
is based; or 
‘‘(ii) a school of medicine or osteo-
pathic medicine, or a branch campus of a 
school of medicine or osteopathic medicine, 
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that will be a minority-serving institution, 
in an area in which no other such school 
that is a minority-serving institution is 
based; 
‘‘(B) plan, develop, and meet criteria for 
accreditation for a school of medicine or osteo-
pathic medicine or branch campus of a school 
of medicine or osteopathic medicine; 
‘‘(C) hire faculty, including faculty from 
racial and ethnic groups who are underrep-
resented among the medical and other health 
professions, and other staff to serve at such a 
school or branch campus; 
‘‘(D) support educational programs at such 
a school or branch campus; 
‘‘(E) modernize and expand infrastructure 
at such a school or branch campus; and 
‘‘(F) support other activities that the Sec-
retary determines further the establishment, 
improvement, or expansion of a school of medi-
cine or osteopathic medicine or branch campus 
of a school of medicine or osteopathic medicine. 
‘‘(e) APPLICATION.—To be eligible to receive a grant 
under subsection (a), an institution of higher education 
(or a consortium of such institutions), shall submit an ap-
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pathic medicine that was established, improved, 
or expanded under this program; 
‘‘(B) the total number of students (includ-
ing the number of students from racial and eth-
nic groups underrepresented among medical 
students and health professions, low-income 
students, and first generation college students) 
who— 
‘‘(i) are enrolled at or who have grad-
uated from any school of medicine or os-
teopathic medicine, or a branch campus of 
school of medicine or osteopathic medicine, 
that was established, improved, or ex-
panded under this program, deidentified 
and disaggregated by race, ethnicity, age, 
sex, geographic region, disability status, 
and other relevant factors, to the extent 
such information is available; and 
‘‘(ii) who subsequently participate in 
an accredited internship or medical resi-
dency program upon graduation from any 
school of medicine or osteopathic medicine, 
or a branch campus of a school of medicine 
or osteopathic medicine, that was estab-
lished, improved, or expanded under this 
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program, deidentified and disaggregated by 
race, ethnicity, age, sex, geographic region, 
disability status, medical specialty pursued, 
and other relevant factors, to the extent 
such information is available; 
‘‘(C) the effects of such program on the 
health care provider workforce, including any 
impact 
on 
demographic 
representation 
disaggregated by race, ethnicity, and sex, and 
the fields or specialties pursued by students 
who have graduated from any school of medi-
cine or osteopathic medicine, or a branch cam-
pus of school of medicine or osteopathic medi-
cine, that was established, improved, or ex-
panded under this program; 
‘‘(D) the effects of such program on health 
care access in underserved areas, including 
medically underserved communities and health 
professional shortage areas; and 
‘‘(E) recommendations for improving the 
program described in this section, and any 
other considerations as the Secretary deter-
mines appropriate. 
‘‘(3) PUBLIC
AVAILABILITY.—The Secretary 
shall make reports submitted under paragraph (2) 
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publicly available on the website of the Department 
of Health and Human Services. 
‘‘(g) DEFINITIONS.—In this section: 
‘‘(1) BRANCH CAMPUS.— 
‘‘(A) IN
GENERAL.—The term ‘branch 
campus’, with respect to a school of medicine or 
osteopathic medicine, means an additional loca-
tion of such school that is geographically apart 
and independent of the main campus, at which 
the school offers at least 50 percent of the pro-
gram leading to a degree of doctor of medicine 
or doctor of osteopathy that is offered at the 
main campus. 
‘‘(B) INDEPENDENCE
FROM
MAIN
CAM-
PUS.—For purposes of subparagraph (A), the 
location of a school described in such subpara-
graph shall be considered to be independent of 
the main campus described in such subpara-
graph if the location— 
‘‘(i) is permanent in nature; 
‘‘(ii) offers courses in educational pro-
grams leading to a degree, certificate, or 
other recognized educational credential; 
‘‘(iii) has its own faculty and adminis-
trative or supervisory organization; and 
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‘‘(iv) has its own budgetary and hiring 
authority. 
‘‘(2) FIRST GENERATION COLLEGE STUDENT.— 
The term ‘first generation college student’ has the 
meaning given such term in section 402A(h)(3) of 
the Higher Education Act of 1965. 
‘‘(3) 
HEALTH
PROFESSIONAL
SHORTAGE 
AREA.—The term ‘health professional shortage area’ 
has the meaning given such term in section 332(a). 
‘‘(4) INSTITUTION OF HIGHER EDUCATION.— 
The term ‘institution of higher education’ has the 
meaning given such term in section 101 of the High-
er Education Act of 1965. 
‘‘(5) MEDICALLY UNDERSERVED COMMUNITY.— 
The term ‘medically underserved community’ has the 
meaning given such term in section 799B(6). 
‘‘(h) AUTHORIZATION OF APPROPRIATIONS.—There 
is authorized to be appropriated such sums as may be nec-
essary to carry out this section.’’. 
Æ 
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