(c) NATIONAL HEALTH SERVICE CORPS RESERVE 
DEMONSTRATION PROJECT.— 
(1) IN GENERAL.—Subpart III of part D of 
title III of the Public Health Service Act (42 U.S.C. 
254l et seq.) is amended by adding at the end the 
following: 
‘‘SEC. 338O. NATIONAL HEALTH SERVICE CORPS RESERVE 
SERVICE DEMONSTRATION PROJECT. 
‘‘(a) IN GENERAL.—From the amounts made avail-
able under section 10503(b)(3)(B) of the Patient Protec-
tion and Affordable Care Act for each of fiscal years 2021 
through 2024, the Secretary shall, to the extent permitted 
by, and consistent with, the requirements of applicable 
State law, use such sums as the Secretary determines nec-
essary to establish, as a demonstration project, a National 
Health Service Corps Reserve Service (referred to in this 
section as the ‘reserve service’) under which a qualified 
individual agrees to engage in service for a period specified 
in a contract under this section in such reserve service 
under this section. 
‘‘(b) RESERVE SERVICE REQUIREMENTS.—An indi-
vidual whose obligated service under a contract under sec-
tion 338A is provided, pursuant to a contract under sub-
section (a), as reserve service, and any other participating 
individual described in subparagraph (B) of subsection 
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(c)(2) may practice a health profession in any private ca-
pacity, subject to the following requirements: 
‘‘(1) In the event of a public health emergency 
declared under section 319, a major disaster de-
clared by the President under section 401 of the 
Robert T. Stafford Disaster Relief and Emergency 
Assistance Act, or an emergency declared by the 
President under section 501 of the Robert T. Staf-
ford Disaster Relief and Emergency Assistance Act 
or a national emergency declared by the President 
under the National Emergencies Act, for the dura-
tion of such emergency or disaster, such individual 
shall be subject to serve in such capacity as the Sec-
retary shall determine appropriate to carry out the 
purposes of this section, and in accordance with the 
Secretary’s plan to increase surge capacity in re-
sponse to public health emergencies or disasters. 
Such service may be furnished in coordination with 
the Corps described in section 204, a State, terri-
torial, or local public health department, or through 
the process described in section 319(e). 
‘‘(2) Not less frequently than 2 days each 
month, and for a total of not fewer than 30 days 
each year, as directed by the Secretary, such indi-
vidual shall— 
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‘‘(A) conduct trainings on public health 
preparedness and response activities, which may 
be in coordination with the State, territorial, or 
local health department; or 
‘‘(B) furnish health care services to low-in-
come individuals in a health professional short-
age area (as defined under section 332(a)), a 
medically underserved population (as defined 
under section 330(b)(3)), or a medically under-
served area or area at high risk of a public 
health emergency as designated by the Sec-
retary. 
‘‘(c) QUALIFIED INDIVIDUALS.—An individual may 
be eligible to participate in the reserve service under this 
section if such individual meets one of the following cri-
teria: 
‘‘(1) An individual participating in the Scholar-
ship Program under section 338A may satisfy the 
obligated service requirement under such program if 
the individual’s contract provides for such service. 
‘‘(2) An individual who participated in the Loan 
Repayment Program under section 338B and who 
satisfied the obligated service requirements under 
such program, in accordance with the individual’s 
contract. 
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‘‘(3) An individual who— 
‘‘(A) did not participate in the Scholarship 
Program under section 338A or the Loan Re-
payment Program under section 338B; 
‘‘(B) has a graduate degree in medicine, 
osteopathic medicine, dentistry, or another 
health profession, or an appropriate graduate 
degree from a program of behavioral or mental 
health, or is certified as a nurse midwife, nurse 
practitioner, or physician assistant; 
‘‘(C) holds a license issued by a State, the 
District of Columbia, or a territory to practice 
the applicable profession; 
‘‘(D) is otherwise qualified to practice, and 
has experience practicing, in a profession— 
‘‘(i) described in section 338B(a)(1); 
or 
‘‘(ii) another high-demand health care 
field or specialty that the Secretary identi-
fies, through a process conducted every 3 
years, as a field or specialty of national 
priority, based on relative workforce short-
ages, expected workforce changes, or pro-
jected changes in patient needs; and 
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‘‘(E) satisfies any other eligibility or appli-
cation requirements specified by the Secretary 
in order to demonstrate the individual’s quali-
fications. 
‘‘(d) RESERVE SERVICE PLAN.—In carrying out this 
section, the Secretary shall establish, in coordination with 
the Surgeon General and State, tribal, and local health 
departments, an action plan for the service commitments, 
priority areas, coordination efforts, training requirements, 
and such other considerations as the Secretary determines 
appropriate, to ensure the complementary, additive capac-
ity of such individuals providing reserve service. 
‘‘(e) CONTRACTS FOR CERTAIN PARTICIPATING INDI-
VIDUALS.—An individual described in subparagraph (B) 
of subsection (c)(2) who is participating in the reserve 
service program under this section shall receive loan re-
payments in an amount equal to 50 percent of the amount 
of payments that would be required with respect to a par-
ticipant of the same clinical profession in the Loan Repay-
ment Program pursuant to a contract entered into at the 
same time under section 338B(g), in a manner similar to 
the manner in which payments are made under such sec-
tion, pursuant to the terms of a contract between the Sec-
retary and such individual. The Secretary shall establish 
a system of contracting for purposes of this subsection 
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