not be interpreted to require an evaluation to include 
such a trial. 
‘‘(g) REPORTS.— 
‘‘(1) TO THE SECRETARY.—An eligible entity 
awarded a grant to conduct a project under this sec-
tion shall submit interim reports to the Secretary on 
the activities carried out under the project, and, on 
the conclusion of the project, a final report on the 
activities. Each such report shall include data on 
participant outcomes related to graduation rate, 
graduation timeliness, credential attainment, em-
ployment in health professions, overall employment, 
earnings, participant demographics, and other data 
specified by the Secretary. 
‘‘(2) TO THE CONGRESS.—During each Con-
gress, the Secretary shall submit to the Committee 
on Ways and Means of the House of Representatives 
and the Committee on Finance of the Senate a re-
port— 
‘‘(A) on the demographics of the partici-
pants in the projects for which a grant is made 
under this section; 
‘‘(B) on the rate of which project partici-
pants 
completed 
all 
activities 
under 
the 
projects; 
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‘‘(C) on the employment credentials ac-
quired by project participants; 
‘‘(D) on the employment of project partici-
pants on completion of activities under the 
projects, and the earnings of project partici-
pants at entry into employment; 
‘‘(E) on best practices and promising prac-
tices used in the projects; 
‘‘(F) on the nature of any technical assist-
ance provided to grantees under this section; 
‘‘(G) on, with respect to the period since 
the period covered in the most recent prior re-
port submitted under this paragraph— 
‘‘(i) the number of applications sub-
mitted under this section, with a separate 
statement of the number of applications re-
ferred to in subsection (b)(5); 
‘‘(ii) the number of applications that 
were approved, with a separate statement 
of the number of such applications referred 
to in subsection (b)(5); and 
‘‘(iii) a description of how grants were 
made in any case described in the last sen-
tence of subsection (c)(1)(A)(ii); and 
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‘‘(H) that includes an assessment of the ef-
fectiveness of the projects with respect to ad-
dressing health professions workforce shortages 
or in-demand jobs. 
‘‘(h) DEFINITIONS.—In this section: 
‘‘(1) ALLIED HEALTH PROFESSION.—The term 
‘allied health profession’ has the meaning given in 
section 799B(5) of the Public Health Service Act. 
‘‘(2) CAREER
PATHWAY.—The term ‘career 
pathway’ has the meaning given that term in section 
3(7) of the Workforce Innovation and Opportunity 
Act. 
‘‘(3) DOULA.—The term ‘doula’ means an indi-
vidual who— 
‘‘(A) 
has 
completed 
hours 
of 
foundational training; 
‘‘(B) is certified by an organization that 
has been established for not less than 5 years 
and that requires the completion of continuing 
education to maintain the certification, to pro-
vide non-medical advice, information, emotional 
support, and physical comfort to an individual 
during the individual’s pregnancy, childbirth, 
and post-partum period; and 
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‘‘(C) maintains the certification by com-
pleting the required continuing education. 
‘‘(4) ELIGIBLE ENTITY.—The term ‘eligible en-
tity’ means any of the following entities that dem-
onstrates in an application submitted under this sec-
tion that the entity has the capacity to fully develop 
and administer the project described in the applica-
tion: 
‘‘(A) A local workforce development board 
established under section 107 of the Workforce 
Innovation and Opportunity Act. 
‘‘(B) A State or territory, a political sub-
division of a State or territory, or an agency of 
a State, territory, or such a political subdivi-
sion, including a State or local entity that ad-
ministers a State program funded under part A 
of this title. 
‘‘(C) An Indian tribe, a tribal organization, 
or a tribal college or university. 
‘‘(D) An institution of higher education (as 
defined in the Higher Education Act of 1965). 
‘‘(E) A hospital (as defined in section 
1861(e)). 
‘‘(F) A high-quality skilled nursing facility. 
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‘‘(G) A Federally qualified health center 
(as defined in section 1861(aa)(4)). 
‘‘(H) A nonprofit organization described in 
section 501(c)(3) of the Internal Revenue Code 
of 1986, a labor organization, or an entity with 
shared labor-management oversight, that has a 
demonstrated history of providing health profes-
sion training to eligible individuals. 
‘‘(I) In the case of a demonstration project 
of 
the 
type 
provided 
for 
in 
subsection 
(c)(2)(B)(i)(II) of this section, an entity recog-
nized by a State, Indian tribe, or tribal organi-
zation as qualified to train doulas or midwives, 
if midwives or doulas, as the case may be, are 
permitted to practice in the State involved. 
‘‘(J) An opioid treatment program (as de-
fined in section 1861(jjj)(2)), and other high 
quality comprehensive addiction care providers. 
‘‘(5) ELIGIBLE INDIVIDUAL.—The term ‘eligible 
individual’ means an individual whose family income 
does not exceed 200 percent of the Federal poverty 
level. 
‘‘(6) FEDERAL
POVERTY
LEVEL.—The term 
‘Federal poverty level’ means the poverty line (as de-
fined in section 673(2) of the Omnibus Budget Rec-
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onciliation Act of 1981, including any revision re-
quired by such section applicable to a family of the 
size involved). 
‘‘(7) INDIAN TRIBE; TRIBAL ORGANIZATION.— 
The terms ‘Indian tribe’ and ‘tribal organization’ 
have the meaning given the terms in section 4 of the 
Indian Self-Determination and Education Assistance 
Act (25 U.S.C. 450b). 
‘‘(8) INSTITUTION OF HIGHER EDUCATION.— 
The term ‘institution of higher education’ has the 
meaning given the term in section 101 or 
102(a)(1)(B) of the Higher Education Act of 1965. 
‘‘(9) MIDWIFE.—The term ‘midwife’ means a 
midwife who meets, at a minimum, the international 
definition of the midwife and global standards for 
midwifery education as established by the Inter-
national Confederation of Midwives. 
‘‘(10) TERRITORY.—The term ‘territory’ means 
the Commonwealth of Puerto Rico, the United 
States Virgin Islands, Guam, the Northern Mariana 
Islands, and American Samoa. 
‘‘(11) TRIBAL COLLEGE OR UNIVERSITY.—The 
term ‘tribal college or university’ has the meaning 
given the term in section 316(b) of the Higher Edu-
cation Act of 1965. 
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‘‘(12) TRIBAL MIDWIFE.—The term ‘tribal mid-
wife’ means an individual who is recognized by an 
Indian tribe (as defined in section 4 of the Indian 
Health Care Improvement Act (25 U.S.C. 1603)) to 
practice midwifery for the tribe. 
‘‘(i) FUNDING.— 
‘‘(1) IN GENERAL.—Out of any funds in the 
Treasury of the United States not otherwise appro-
priated, there are appropriated to the Secretary to 
carry out this section $425,000,000 for each of fis-
cal years 2024 through 2028. 
‘‘(2) ALLOCATION OF FUNDS.—Of the amount 
appropriated for a fiscal year under paragraph (1) 
of this subsection— 
‘‘(A) 75 percent shall be available for 
grants under subsection (c)(1)(A); 
‘‘(B) 4 percent shall be reserved for grants 
under subsection (c)(1)(B); 
‘‘(C) 5 percent shall be reserved for grants 
under subsection (c)(1)(C); 
‘‘(D) 6 percent shall be available for dem-
onstration project grants under subsection 
(c)(2); 
‘‘(E) 6 percent, plus all amounts referred 
to in subparagraphs (A) through (D) of this 
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paragraph that remain unused after all grant 
awards are made for the fiscal year, shall be 
available for the provision of technical assist-
ance and associated staffing; and 
‘‘(F) 4 percent shall be available for study-
ing the effects of the demonstration and non- 
demonstration projects for which a grant is 
made under this section, and for associated 
staffing, for the purpose of supporting the rig-
orous evaluation of the demonstration projects, 
and supporting the continued study of the 
short-, medium-, and long-term effects of all 
such projects, including the effectiveness of spe-
cific 
elements 
of 
the 
non-demonstration 
projects. 
‘‘(j) NONAPPLICABILITY OF PRECEDING SECTIONS 
OF THIS SUBTITLE.— 
‘‘(1) IN GENERAL.—Except as provided in para-
graph (2), the preceding sections of this subtitle 
shall not apply to a grant awarded under this sec-
tion. 
‘‘(2) EXCEPTION FOR CERTAIN LIMITATIONS ON 
USE OF GRANTS.—Section 2005(a) (other than para-
graphs (2), (3), (5), (6), and (8)) shall apply to a 
grant awarded under this section to the same extent 
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and in the same manner as such section applies to 
payments to States under this subtitle. 
‘‘(k) INCOME DISREGARD.—Amounts paid to an eligi-
ble individual as a cash stipend or as emergency assistance 
under a project for which a grant is made under this sec-
tion shall not be considered income for any purpose under 
the Internal Revenue Code of 1986, and an entity making 
such a payment shall not be required to submit an infor-
mation return under subtitle F of such Code with respect 
to the payment.’’. 
Æ 
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