I 
116TH CONGRESS 
2D SESSION 
H. R. 5654 
To amend the Public Health Service Act to authorize grants to institutions 
of higher education for the establishment of schools of medicine (or 
branch campuses) in underserved areas, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
JANUARY 17, 2020 
Mr. COSTA (for himself, Mr. COX of California, and Mr. HARDER of Cali-
fornia) introduced the following bill; which was referred to the Committee 
on Energy and Commerce 
A BILL 
To amend the Public Health Service Act to authorize grants 
to institutions of higher education for the establishment 
of schools of medicine (or branch campuses) in under-
served areas, 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 ‘‘Expanding Medical 
Education Act of 2020’’. 
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SEC. 2. GRANTS FOR NEW SCHOOLS OF MEDICINE IN UN-
DERSERVED AREAS. 
Subpart II of part C of title VII of the Public Health 
Service Act is amended by inserting after section 749B 
of such Act (42 U.S.C. 293m) the following: 
‘‘SEC. 749C. NEW SCHOOLS OF MEDICINE IN UNDERSERVED 
AREAS. 
‘‘(a) GRANTS.—The Secretary, acting through the 
Administrator of the Health Resources and Services Ad-
ministration, may award grants to institutions of higher 
education (including multiple institutions of higher edu-
cation applying jointly) for the establishment of a school 
of medicine, or a branch campus of a school of medicine, 
in an area that— 
‘‘(1) is a combined statistical area with a popu-
lation of over 1,000,000, as of the July 1, 2018, ac-
cording to the estimate of population by the Bureau 
of the Census; and 
‘‘(2) has no school of medicine based in the 
area. 
‘‘(b) PRIORITY.—In selecting grant recipients under 
this section, the Secretary shall give priority to institutions 
of higher education that— 
‘‘(1) propose to use the grant to establish a 
school of medicine, or a branch campus of a school 
of medicine, in a combined statistical area with 
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fewer than 200 actively practicing physicians per 
100,000 residents according to the medical board (or 
boards) of the State (or States) involved; and 
‘‘(2) have a curriculum that emphasizes care for 
diverse and underserved populations. 
‘‘(c) USE OF FUNDS.—The activities for which a 
grant under this section may be used include— 
‘‘(1) planning and constructing a new school of 
medicine or branch campus described in subsection 
(a); 
‘‘(2) accreditation and planning activities for 
such new school of medicine or branch campus; 
‘‘(3) hiring faculty and other staff to serve at 
such new school of medicine or branch campus; 
‘‘(4) recruitment and enrollment of students at 
such new school of medicine or branch campus; 
‘‘(5) supporting educational programs at such 
new school of medicine or branch campus; and 
‘‘(6) other efforts that the Secretary may deter-
mine further the development and expansion of a 
new school of medicine or branch campus. 
‘‘(d) AMOUNT OF GRANT.—The amount of a grant 
under this section shall not exceed $10,000,000 for any 
fiscal year. 
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‘‘(e) MATCHING REQUIREMENT.—The Secretary may 
not award a grant to an applicant under this section un-
less such applicant agrees that, with respect to costs to 
be incurred by the applicant in carrying out activities for 
which the grant was awarded, the applicant will contribute 
(directly or through donations from public or private enti-
ties) non-Federal contributions in cash or in-kind, in an 
amount equal to not less than $1 for each $1 of Federal 
funds provided through the grant. 
‘‘(f) DEFINITIONS.—In this section: 
‘‘(1) The term ‘branch campus’ means a geo-
graphically separate site at least 100 miles from the 
main campus of a school of medicine where at least 
one student completes at least 60 percent of the stu-
dent’s training leading to a degree of doctor of medi-
cine. 
‘‘(2) The term ‘institution of higher education’ 
has the meaning given to such term in section 
101(a) of the Higher Education Act of 1965. 
‘‘(g) AUTHORIZATION
OF
APPROPRIATIONS.—To 
carry out this section, there is authorized to be appro-
priated $40,000,000 for each of fiscal years 2021 through 
2025, to remain available until expended.’’. 
Æ 
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