improving the quality of care provided to older 
adults in the applicant’s region, which may in-
clude— 
‘‘(A) improvements in access to care pro-
vided by a health professional with training in 
geriatrics or gerontology; 
‘‘(B) improvements in family caregiver ca-
pacity to care for older adults; 
‘‘(C) patient outcome data demonstrating 
an improvement in older adult health status or 
care quality; and 
‘‘(D) reports on how the applicant will im-
plement specific innovations with the target au-
dience to improve older adults’ health status or 
the quality of care. 
‘‘(5) 
EQUITABLE
GEOGRAPHIC
DISTRIBU-
TION.—The Secretary may award grants and con-
tracts under paragraph (1) in a manner which will 
equitably distribute such grants among the various 
regions of the United States. 
‘‘(6) QUALIFICATIONS.—In awarding grants 
and contracts under paragraph (2), the Secretary 
shall consider programs that— 
‘‘(A) have the goal of improving and pro-
viding comprehensive coordinated care of older 
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adults, including medical, dental, and psycho-
social needs; 
‘‘(B) demonstrate coordination with other 
programmatic efforts funded under this pro-
gram or other public or private entities; 
‘‘(C) support the training and retraining of 
faculty, preceptors, primary care providers, and 
providers in other specialties to increase their 
knowledge of geriatrics and gerontology; 
‘‘(D) provide clinical experiences across 
care settings, including ambulatory care, hos-
pitals, post-acute care, nursing homes, federally 
qualified health centers, and home and commu-
nity-based services; 
‘‘(E) emphasize education and engagement 
of family caregivers on disease self-manage-
ment, medication management, and stress re-
duction strategies; 
‘‘(F) provide training to the health care 
workforce on disease self-management, motiva-
tional interviewing, medication management, 
and stress reduction strategies; 
‘‘(G) provide training to the health care 
workforce on social determinants of health in 
order to better address the geriatric health care 
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needs of diverse populations with cultural and 
linguistic competency; 
‘‘(H) integrate geriatrics competencies and 
interprofessional 
collaborative 
practice 
into 
health care education and training curricula for 
residents, fellows, and students; 
‘‘(I) substantially benefit rural or under-
served populations of older adults or conduct 
outreach to communities that have a shortage 
of geriatric workforce professionals; 
‘‘(J) integrate behavioral health com-
petencies into primary care practice, especially 
with respect to elder abuse, pain management, 
and advance care planning; or 
‘‘(K) offer short-term intensive courses 
that— 
‘‘(i) focus on geriatrics, gerontology, 
chronic care management, and long-term 
care that provide supplemental training for 
faculty members in medical schools and 
other health professions schools or grad-
uate programs in psychology, pharmacy, 
nursing, social work, dentistry, public 
health, allied health, or other health dis-
ciplines, as approved by the Secretary; and 
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‘‘(ii) are open to current faculty, and 
appropriately credentialed volunteer faculty 
and practitioners, to upgrade their knowl-
edge and clinical skills for the care of older 
adults and adults with functional and cog-
nitive limitations and to enhance their 
interdisciplinary teaching skills. 
‘‘(7) PRIORITY.—In awarding grants under 
paragraph (1), particularly with respect to awarding, 
in fiscal year 2020, any amount appropriated for 
such fiscal year for purposes of carrying out this 
subsection that is in excess of the amount appro-
priated for the most previous fiscal year for which 
appropriations were made for such purposes, the 
Secretary may give priority to entities that oper-
ate— 
‘‘(A) in communities that have a shortage 
of geriatric workforce professionals; and 
‘‘(B) in States in which no entity has pre-
viously received an award under such paragraph 
(including as in effect before the date of enact-
ment of the Educating Medical Professionals 
and Optimizing Workforce Efficiency and Read-
iness for Health Act of 2019). 
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‘‘(8) AWARD AMOUNTS.—Awards under para-
graph (1) shall be in an amount determined by the 
Secretary. Entities that submit applications under 
this subsection that describe a plan for providing 
geriatric education and training for home health 
workers and family caregivers are eligible to receive 
$100,000 per year more than entities that do not in-
clude a description of such a plan. 
‘‘(9) REPORTING.— 
‘‘(A) REPORTS FROM ENTITIES.—Each en-
tity awarded a grant under paragraph (1) shall 
submit an annual report to the Secretary on fi-
nancial and programmatic performance under 
such grant, which may include factors such as 
the number of trainees, the number of profes-
sions and disciplines, the number of partner-
ships with health care delivery sites, the num-
ber of faculty and practicing professionals who 
participated in continuing education programs, 
and such other factors as the Secretary may re-
quire. 
‘‘(B) REPORTS TO CONGRESS.— 
‘‘(i) ANNUAL REPORT.—At the end of 
each fiscal year in which the Secretary 
awards grants under this subsection, the 
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Secretary shall submit to Congress a re-
port that provides a summary of the finan-
cial and programmatic performance of 
such grants, which may include factors 
such as— 
‘‘(I) the number of trainees; 
‘‘(II) the number of professions 
and disciplines; 
‘‘(III) the number of partner-
ships with health care delivery sites; 
‘‘(IV) the number of faculty and 
practicing professionals who partici-
pated in continuing education pro-
grams; and 
‘‘(V) other factors that assess the 
impact of the program under this sub-
section on the health status of older 
adults, the quality of care for older 
adults, and the knowledge and skills 
of the Nation’s health care workforce 
to care for older adults. 
‘‘(ii) 
PUBLIC
AVAILABILITY.—The 
Secretary shall make each report sub-
mitted under clause (i), and supporting 
data, publicly available in an accessible for-
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mat on the internet website of the Health 
Resources and Services Administration. 
‘‘(b) GERIATRIC ACADEMIC CAREER AWARDS.— 
‘‘(1) ESTABLISHMENT OF PROGRAM.—The Sec-
retary shall establish a program to award grants, to 
be known as Geriatric Academic Career Awards, to 
eligible entities applying on behalf of eligible individ-
uals to promote the career development of such indi-
viduals as academic geriatricians or other academic 
geriatrics health professionals. 
‘‘(2) ELIGIBILITY.— 
‘‘(A) ELIGIBLE ENTITY.—For purposes of 
this subsection, the term ‘eligible entity’ 
means— 
‘‘(i) an accredited school of allopathic 
medicine, osteopathic medicine, nursing, 
social work, psychology, dentistry, phar-
macy, or allied health; or 
‘‘(ii) another type of accredited health 
professions school or graduate program 
deemed by the Secretary to be eligible 
under this subsection. 
‘‘(B) ELIGIBLE INDIVIDUAL.— 
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‘‘(i) IN
GENERAL.—For purposes of 
this subsection, the term ‘eligible indi-
vidual’ means an individual who— 
‘‘(I) has a junior, nontenured, 
faculty appointment at an accredited 
school of allopathic medicine, osteo-
pathic medicine, nursing, social work, 
psychology, dentistry, pharmacy, or 
allied health or at another type of ac-
credited health professions school or 
graduate program described in sub-
paragraph (A)(ii); 
‘‘(II)(aa) is board certified or 
board eligible in internal medicine, 
family practice, psychiatry, or licensed 
dentistry, or has completed the train-
ing required for the individual’s dis-
cipline; and 
‘‘(bb) is employed at an eligible 
entity; or 
‘‘(III) has completed an approved 
fellowship program in geriatrics or 
gerontology, or has completed spe-
cialty training in geriatrics or geron-
tology as required for the individual’s 
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discipline and any additional geri-
atrics or gerontology training as re-
quired by the Secretary. 
‘‘(ii) SPECIAL
RULE.—If during the 
period of an award under this subsection 
respecting an eligible individual, the indi-
vidual is promoted to associate professor 
and thereby no longer meets the criteria of 
clause (i)(I), the individual may continue 
to be treated as an eligible individual 
through the term of the award. 
‘‘(3) LIMITATIONS.—An eligible entity may not 
receive an award under paragraph (1) on behalf of 
an eligible individual unless the eligible entity— 
‘‘(A) submits to the Secretary an applica-
tion, at such time, in such manner, and con-
taining such information as the Secretary may 
require, and the Secretary approves such appli-
cation; 
‘‘(B) provides, in such form and manner as 
the Secretary may require, assurances that the 
eligible individual on whose behalf an applica-
tion was submitted under subparagraph (A) will 
meet the service requirement described in para-
graph (8); and 
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‘‘(C) provides, in such form and manner as 
the Secretary may require, assurances that such 
individual has a full-time faculty appointment 
in an accredited health professions school or 
graduate program and documented commitment 
from such school or program to spend 75 per-
cent of the total time of such individual on 
teaching and developing skills in interprofes-
sional education in geriatrics. 
‘‘(4) REQUIREMENTS.—In awarding grants 
under this subsection, the Secretary— 
‘‘(A) shall give priority to eligible entities 
that apply on behalf of eligible individuals who 
are on the faculty of institutions that integrate 
geriatrics education, training, and best prac-
tices into academic program criteria; 
‘‘(B) may give priority to eligible entities 
that operate a geriatrics workforce enhance-
ment program under subsection (a); 
‘‘(C) shall ensure that grants are equitably 
distributed across the various geographical re-
gions of the United States, including rural and 
underserved areas; 
‘‘(D) shall pay particular attention to geri-
atrics health care workforce needs among un-
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derserved populations, diverse communities, and 
rural areas; 
‘‘(E) may not require an eligible individual, 
or an eligible entity applying on behalf of an eli-
gible individual, to be a recipient of a grant or 
contract under this part; and 
‘‘(F) shall pay the full amount of the 
award to the eligible entity. 
‘‘(5) MAINTENANCE OF EFFORT.—An eligible 
entity receiving an award under paragraph (1) on 
behalf of an eligible individual shall provide assur-
ances to the Secretary that funds provided to such 
individual under this subsection will be used only to 
supplement, not to supplant, the amount of Federal, 
State, and local funds otherwise expended by such 
individual. 
‘‘(6) AMOUNT AND TERM.— 
‘‘(A) AMOUNT.—The amount of an award 
under this subsection for eligible individuals 
who are physicians shall equal $100,000 for fis-
cal year 2020, adjusted for subsequent fiscal 
years to reflect the increase in the Consumer 
Price Index. The Secretary shall determine the 
amount of an award under this subsection for 
individuals who are not physicians. 
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‘‘(B) TERM.—The term of any award 
made under this subsection shall not exceed 5 
years. 
‘‘(7) SERVICE REQUIREMENT.—An eligible indi-
vidual on whose behalf an application was submitted 
and approved under paragraph (3)(A) shall provide 
training in clinical geriatrics or gerontology, includ-
ing the training of interprofessional teams of health 
care professionals. 
‘‘(c) AUTHORIZATION
OF
APPROPRIATIONS.—To 
carry out this section, there is authorized to be appro-
priated $51,000,000 for each of fiscal years 2020 through 
2024. Notwithstanding the preceding sentence, no funds 
shall be made available to carry out subsection (b) for a 
fiscal year unless the amount made available to carry out 
this section for such fiscal year is more than the amount 
made available to carry out this section for fiscal year 
2017.’’. 
SEC. 4. INVESTMENT IN TOMORROW’S PEDIATRIC HEALTH 
CARE WORKFORCE. 
Section 775 of the Public Health Service Act (42 
U.S.C. 295f) is amended to read as follows: 
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‘‘SEC. 
775. 
INVESTMENT 
IN 
TOMORROW’S 
PEDIATRIC 
HEALTH CARE WORKFORCE. 
‘‘(a) IN GENERAL.—The Secretary shall establish 
and carry out a program of entering into pediatric spe-
cialty loan repayment agreements with qualified health 
professionals under which— 
‘‘(1) the qualified health professional agrees to 
a period of not less than 2 years of obligated service 
during which the professional will— 
‘‘(A) participate in an accredited pediatric 
medical subspecialty, pediatric surgical spe-
cialty, or child and adolescent mental and be-
havioral health residency or fellowship; or 
‘‘(B) be employed full-time in providing pe-
diatric medical subspecialty care, pediatric sur-
gical specialty care, or child and adolescent 
mental and behavioral health care, including 
substance use disorder prevention and treat-
ment services, in an area with— 
‘‘(i) a shortage of health care profes-
sionals practicing in the pediatric medical 
subspecialty, the pediatric surgical spe-
cialty, or child and adolescent mental and 
behavioral health, as applicable; and 
‘‘(ii) a sufficient pediatric population, 
as determined by the Secretary, to support 
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the addition of a practitioner in the pedi-
atric medical subspecialty, the pediatric 
surgical specialty, or child and adolescent 
mental and behavioral health, as applica-
ble; and 
‘‘(2) the Secretary agrees to make payments on 
the principal and interest of undergraduate, grad-
uate, or graduate medical education loans of the 
qualified health professional of not more than 
$35,000 a year for each year of agreed upon service 
under paragraph (1) for a period of not more than 
3 years. 
‘‘(b) ELIGIBILITY REQUIREMENTS.— 
‘‘(1) PEDIATRIC MEDICAL SPECIALISTS AND PE-
DIATRIC SURGICAL SPECIALISTS.—For purposes of 
loan repayment agreements under this section with 
respect to pediatric medical subspecialty and pedi-
atric surgical specialty practitioners, the term ‘quali-
fied health professional’ means a licensed physician 
who— 
‘‘(A) is entering or receiving training in an 
accredited pediatric medical subspecialty or pe-
diatric surgical subspecialty residency or fellow-
ship; or 
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‘‘(B) has completed (but not prior to the 
end of the calendar year in which this section 
is enacted) the training described in clause (i). 
‘‘(2) CHILD
AND
ADOLESCENT
MENTAL
AND 
BEHAVIORAL HEALTH.—For purposes of loan repay-
ment agreements under this section with respect to 
child and adolescent mental and behavioral health 
care, the term ‘qualified health professional’ means 
a health care professional who— 
‘‘(A) has received specialized training or 
clinical experience in child and adolescent men-
tal health in psychiatry, psychology, school psy-
chology, behavioral pediatrics, psychiatric nurs-
ing, social work, school social work, substance 
use disorder prevention and treatment, mar-
riage and family therapy, school counseling, or 
professional counseling; 
‘‘(B) has a license or certification in a 
State to practice allopathic medicine, osteo-
pathic medicine, psychology, school psychology, 
psychiatric nursing, social work, school social 
work, marriage and family therapy, school 
counseling, or professional counseling; or 
‘‘(C) is a mental health service professional 
who has completed (but not before the end of 
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the calendar year in which this section is en-
acted) specialized training or clinical experience 
in child and adolescent mental health described 
in clause (i). 
‘‘(3) 
ADDITIONAL
ELIGIBILITY
REQUIRE-
MENTS.—The Secretary may not enter into a loan 
repayment agreement under this section with a 
qualified health professional unless— 
‘‘(A) the professional agrees to work in, or 
for a provider serving, a medically underserved 
area, or to serve a medically underserved popu-
lation; 
‘‘(B) the professional is a United States 
citizen or a permanent legal United States resi-
dent; and 
‘‘(C) if the professional is enrolled in a 
graduate program, the program is accredited, 
and the professional has an acceptable level of 
academic standing (as determined by the Sec-
retary). 
‘‘(c) PRIORITY.—In entering into loan repayment 
agreements under this section, the Secretary shall give pri-
ority to applicants who— 
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‘‘(1) are or will be working in a school or other 
pre-kindergarten, elementary, or secondary edu-
cation setting; 
‘‘(2) have familiarity with evidence-based meth-
ods and cultural and linguistic competence in health 
care services; and 
‘‘(3) demonstrate financial need. 
‘‘(d) AUTHORIZATION OF APPROPRIATIONS.—There 
are authorized to be appropriated for each of fiscal years 
2020 through 2024— 
‘‘(1) $30,000,000 to carry out this section with 
respect to loan repayment agreements with qualified 
health professionals described in subsection (b)(1); 
and 
‘‘(2) $20,000,000 to carry out this section with 
respect to loan repayment agreements with respect 
to qualified health professionals described in sub-
section (b)(2).’’. 
Æ 
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