H. R. 34—218 
SEC. 9022. STRENGTHENING THE MENTAL AND SUBSTANCE USE DIS-
ORDERS WORKFORCE. 
Part D of title VII of the Public Health Service Act (42 U.S.C. 
294 et seq.) is amended by adding at the end the following: 
‘‘SEC. 760. TRAINING DEMONSTRATION PROGRAM. 
‘‘(a) IN GENERAL.—The Secretary shall establish a training 
demonstration program to award grants to eligible entities to sup-
port— 
‘‘(1) training for medical residents and fellows to practice 
psychiatry and addiction medicine in underserved, community- 
based settings that integrate primary care with mental and 
substance use disorders prevention and treatment services; 
‘‘(2) training for nurse practitioners, physician assistants, 
health service psychologists, and social workers to provide 
mental and substance use disorders services in underserved 
community-based settings that integrate primary care and 
mental and substance use disorders services; and 
‘‘(3) establishing, maintaining, or improving academic units 
or programs that— 
‘‘(A) provide training for students or faculty, including 
through clinical experiences and research, to improve the 
ability to be able to recognize, diagnose, and treat mental 
and substance use disorders, with a special focus on addic-
tion; or 
‘‘(B) develop evidence-based practices or recommenda-
tions for the design of the units or programs described 
in subparagraph (A), including curriculum content stand-
ards. 
‘‘(b) ACTIVITIES.— 
‘‘(1) TRAINING FOR RESIDENTS AND FELLOWS.—A recipient 
of a grant under subsection (a)(1)— 
‘‘(A) shall use the grant funds— 
‘‘(i)(I) to plan, develop, and operate a training pro-
gram for medical psychiatry residents and fellows in 
addiction medicine practicing in eligible entities 
described in subsection (c)(1); or 
‘‘(II) to train new psychiatric residents and fellows 
in addiction medicine to provide and expand access 
to integrated mental and substance use disorders serv-
ices; and 
‘‘(ii) to provide at least 1 training track that is— 
‘‘(I) a virtual training track that includes an 
in-person rotation at a teaching health center or 
in a community-based setting, followed by a virtual 
rotation in which the resident or fellow continues 
to support the care of patients at the teaching 
health center or in the community-based setting 
through the use of health information technology 
and, as appropriate, telehealth services; 
‘‘(II) an in-person training track that includes 
a rotation, during which the resident or fellow 
practices at a teaching health center or in a 
community-based setting; or 
‘‘(III) an in-person training track that includes 
a rotation during which the resident practices in 
a community-based setting that specializes in the
H. R. 34—219 
treatment of infants, children, adolescents, or preg-
nant or postpartum women; and 
‘‘(B) may use the grant funds to provide additional 
support for the administration of the program or to meet 
the costs of projects to establish, maintain, or improve 
faculty development, or departments, divisions, or other 
units necessary to implement such training. 
‘‘(2) TRAINING
FOR
OTHER
PROVIDERS.—A recipient of a 
grant under subsection (a)(2)— 
‘‘(A) shall use the grant funds to plan, develop, or 
operate a training program to provide mental and sub-
stance use disorders services in underserved, community- 
based settings, as appropriate, that integrate primary care 
and mental and substance use disorders prevention and 
treatment services; and 
‘‘(B) may use the grant funds to provide additional 
support for the administration of the program or to meet 
the costs of projects to establish, maintain, or improve 
faculty development, or departments, divisions, or other 
units necessary to implement such program. 
‘‘(3) ACADEMIC UNITS OR PROGRAMS.—A recipient of a grant 
under subsection (a)(3) shall enter into a partnership with 
organizations such as an education accrediting organization 
(such as the Liaison Committee on Medical Education, the 
Accreditation Council for Graduate Medical Education, the 
Commission on Osteopathic College Accreditation, the Accredi-
tation Commission for Education in Nursing, the Commission 
on Collegiate Nursing Education, the Accreditation Council for 
Pharmacy Education, the Council on Social Work Education, 
American Psychological Association Commission on Accredita-
tion, or the Accreditation Review Commission on Education 
for the Physician Assistant) to carry out activities under sub-
section (a)(3). 
‘‘(c) ELIGIBLE ENTITIES.— 
‘‘(1) TRAINING FOR RESIDENTS AND FELLOWS.—To be eligible 
to receive a grant under subsection (a)(1), an entity shall— 
‘‘(A) be a consortium consisting of— 
‘‘(i) at least one teaching health center; and 
‘‘(ii) the sponsoring institution (or parent institu-
tion of the sponsoring institution) of— 
‘‘(I) a psychiatry residency program that is 
accredited by the Accreditation Council of Grad-
uate Medical Education (or the parent institution 
of such a program); or 
‘‘(II) a fellowship in addiction medicine, as 
determined appropriate by the Secretary; or 
‘‘(B) be an entity described in subparagraph (A)(ii) 
that provides opportunities for residents or fellows to train 
in community-based settings that integrate primary care 
with mental and substance use disorders prevention and 
treatment services. 
‘‘(2) TRAINING
FOR
OTHER
PROVIDERS.—To be eligible to 
receive a grant under subsection (a)(2), an entity shall be— 
‘‘(A) a teaching health center (as defined in section 
749A(f)); 
‘‘(B) a Federally qualified health center (as defined 
in section 1905(l)(2)(B) of the Social Security Act);
H. R. 34—220 
‘‘(C) a community mental health center (as defined 
in section 1861(ff)(3)(B) of the Social Security Act); 
‘‘(D) a rural health clinic (as defined in section 1861(aa) 
of the Social Security Act); 
‘‘(E) a health center operated by the Indian Health 
Service, an Indian tribe, a tribal organization, or an urban 
Indian organization (as defined in section 4 of the Indian 
Health Care Improvement Act); or 
‘‘(F) an entity with a demonstrated record of success 
in providing training for nurse practitioners, physician 
assistants, health service psychologists, and social workers. 
‘‘(3) ACADEMIC
UNITS
OR
PROGRAMS.—To be eligible to 
receive a grant under subsection (a)(3), an entity shall be 
a school of medicine or osteopathic medicine, a nursing school, 
a physician assistant training program, a school of pharmacy, 
a school of social work, an accredited public or nonprofit private 
hospital, an accredited medical residency program, or a public 
or private nonprofit entity which the Secretary has determined 
is capable of carrying out such grant. 
‘‘(d) PRIORITY.— 
‘‘(1) IN GENERAL.—In awarding grants under subsection 
(a)(1) or (a)(2), the Secretary shall give priority to eligible 
entities that— 
‘‘(A) demonstrate sufficient size, scope, and capacity 
to undertake the requisite training of an appropriate 
number of psychiatric residents, fellows, nurse practi-
tioners, physician assistants, or social workers in addiction 
medicine per year to meet the needs of the area served; 
‘‘(B) demonstrate experience in training providers to 
practice team-based care that integrates mental and sub-
stance use disorder prevention and treatment services with 
primary care in community-based settings; 
‘‘(C) demonstrate experience in using health informa-
tion technology and, as appropriate, telehealth to support— 
‘‘(i) the delivery of mental and substance use dis-
orders services at the eligible entities described in sub-
sections (c)(1) and (c)(2); and 
‘‘(ii) community health centers in integrating pri-
mary care and mental and substance use disorders 
treatment; or 
‘‘(D) have the capacity to expand access to mental 
and substance use disorders services in areas with dem-
onstrated need, as determined by the Secretary, such as 
tribal, rural, or other underserved communities. 
‘‘(2) ACADEMIC UNITS OR PROGRAMS.—In awarding grants 
under subsection (a)(3), the Secretary shall give priority to 
eligible entities that— 
‘‘(A) have a record of training the greatest percentage 
of mental and substance use disorders providers who enter 
and remain in these fields or who enter and remain in 
settings with integrated primary care and mental and sub-
stance use disorder prevention and treatment services; 
‘‘(B) have a record of training individuals who are 
from underrepresented minority groups, including native 
populations, or from a rural or disadvantaged background; 
‘‘(C) provide training in the care of vulnerable popu-
lations such as infants, children, adolescents, pregnant and
H. R. 34—221 
postpartum women, older adults, homeless individuals, vic-
tims of abuse or trauma, individuals with disabilities, and 
other groups as defined by the Secretary; 
‘‘(D) teach trainees the skills to provide interprofes-
sional, integrated care through collaboration among health 
professionals; or 
‘‘(E) provide training in cultural competency and health 
literacy. 
‘‘(e) DURATION.—Grants awarded under this section shall be 
for a minimum of 5 years. 
‘‘(f) STUDY AND REPORT.— 
‘‘(1) STUDY.— 
‘‘(A) IN GENERAL.—The Secretary, acting through the 
Administrator of the Health Resources and Services 
Administration, shall conduct a study on the results of 
the demonstration program under this section. 
‘‘(B) DATA SUBMISSION.—Not later than 90 days after 
the completion of the first year of the training program 
and each subsequent year that the program is in effect, 
each recipient of a grant under subsection (a) shall submit 
to the Secretary such data as the Secretary may require 
for analysis for the report described in paragraph (2). 
‘‘(2) REPORT TO CONGRESS.—Not later than 1 year after 
receipt of the data described in paragraph (1)(B), the Secretary 
shall submit to Congress a report that includes— 
‘‘(A) an analysis of the effect of the demonstration 
program under this section on the quality, quantity, and 
distribution of mental and substance use disorders services; 
‘‘(B) an analysis of the effect of the demonstration 
program on the prevalence of untreated mental and sub-
stance use disorders in the surrounding communities of 
health centers participating in the demonstration; and 
‘‘(C) recommendations on whether the demonstration 
program should be expanded. 
‘‘(g) AUTHORIZATION OF APPROPRIATIONS.—There are authorized 
to be appropriated to carry out this section $10,000,000 for each 
of fiscal years 2018 through 2022.’’. 
SEC. 9023. CLARIFICATION ON CURRENT ELIGIBILITY FOR LOAN 
REPAYMENT PROGRAMS. 
The Administrator of the Health Resources and Services 
Administration shall clarify the eligibility pursuant to section 
338B(b)(1)(B) of the Public Health Service Act (42 U.S.C. 254l– 
1(b)(1)(B)) of child and adolescent psychiatrists for the National 
Health Service Corps Loan Repayment Program under subpart 
III of part D of title III of such Act (42 U.S.C. 254l et seq.). 
SEC. 9024. MINORITY FELLOWSHIP PROGRAM. 
Title V of the Public Health Service Act (42 U.S.C. 290aa 
et seq.) is amended by adding at the end the following: 
‘‘PART K—MINORITY FELLOWSHIP PROGRAM 
‘‘SEC. 597. FELLOWSHIPS. 
‘‘(a) IN GENERAL.—The Secretary shall maintain a program, 
to be known as the Minority Fellowship Program, under which 
the Secretary shall award fellowships, which may include stipends, 
for the purposes of—