I 
109TH CONGRESS 
2D SESSION 
H. R. 5770 
To amend the Public Health Service Act to increase the physician manpower 
in the areas of primary care, psychiatric care, and emergency medicine 
in federally designated physician shortage areas, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
JULY 12, 2006 
Mr. CONYERS (for himself, Mrs. CHRISTENSEN, Mr. DAVIS of Illinois, Mr. 
JACKSON of Illinois, Ms. JACKSON-LEE of Texas, and Mr. BISHOP of 
Georgia) introduced the following bill; which was referred to the Com-
mittee on Energy and Commerce 
A BILL 
To amend the Public Health Service Act to increase the 
physician manpower in the areas of primary care, psy-
chiatric care, and emergency medicine in federally des-
ignated physician shortage 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 ‘‘United States Physi-
cian Shortage Elimination Act of 2006’’. 
SEC. 2. FINDINGS. 
Congress finds the following: 
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(1) The average life expectancy in the United 
States has increased to 80 years of age, causing an 
ever-increasing demand for medical care. 
(2) In 1975, United States medical schools 
graduated approximately 12,716 physicians. Half of 
these physicians entered programs of medical studies 
as graduates of United States colleges and univer-
sities. The other half consisted of graduates of for-
eign institutions admitted to United States medical 
schools under the J–1 Visa Program. 
(3) Presently, the number of applicants, foreign 
and domestic, seeking admission to United States 
medical schools has decreased to approximately 
37,364. 
(4) During the last 20 years, median tuition 
and fees at medical schools have increased by 745 
percent (270 percent adjusted for inflation) in pri-
vate schools and by 876 percent (318 percent ad-
justed for inflation) in public schools. 
(5) Physicians who graduated from medical 
schools in the 1970’s will be leaving the profession 
within the next 10 years, causing a decrease of 30 
percent in the supply of physicians, while the popu-
lation will have increased by 24 percent. 
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(6) The Indiana State Medical Licensing Board 
has estimated that in 20 years there will be 200,000 
fewer physicians available to deliver medical services. 
(7) In 2005, the Council on Graduate Medical 
Education stated in a report to Congress that there 
will be a shortage of not fewer than 90,000 full-time 
physicians by 2020. 
(8) A decrease in Federal spending to carry out 
programs authorized by title VII of the Public 
Health Service Act threatens the viability of pro-
grams used to solve the problem of inadequate ac-
cess to health care. 
(9) A continuing decline in the number of fam-
ily physicians may lead to renewed shortages of safe-
ty net and rural physicians. 
(10) There is a declining ability to recruit 
qualified medical students from rural and under-
served areas, coupled with greater difficulty on the 
part of community health centers and other clinics 
to attract adequate personnel. 
SEC. 3. NATIONAL HEALTH SERVICE CORPS MEDICAL 
SCHOOL SCHOLARSHIP PROGRAM. 
(a) PROGRAM AUTHORIZED.—Subpart III of part D 
of title III of the Public Health Service Act (42 U.S.C. 
254l et seq.) is amended— 
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(1) in the heading by inserting ‘‘, Medical 
School 
Scholarship 
Program,’’ 
after 
‘‘Scholarship Program’’; and 
(2) by inserting after section 338A the fol-
lowing: 
‘‘SEC. 338A–1. NATIONAL HEALTH SERVICE CORPS MEDICAL 
SCHOOL SCHOLARSHIP PROGRAM. 
‘‘(a) ESTABLISHMENT.— 
‘‘(1) IN GENERAL.—The Secretary shall estab-
lish a program to be known as the National Health 
Service Corps Medical School Scholarship Program 
(in this subpart referred to as the ‘Medical School 
Scholarship Program’ to ensure, with respect to the 
provision of primary health services, including pri-
mary care, psychiatric care, and emergency medical 
services, pursuant to section 331(a)(2), an adequate 
supply of physicians. The purpose of the program is 
to train an additional 5000 medical students each 
year. 
‘‘(2) RELATIONSHIP
TO
NATIONAL
HEALTH 
SERVICE CORPS SCHOLARSHIP PROGRAM.—Scholar-
ships provided under this section are intended to 
complement, and not take the place of, scholarships 
provided to students enrolled in courses of study 
leading to a degree in medicine or osteopathic medi-
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cine under the National Health Service Corps Schol-
arship Program authorized by section 338A. 
‘‘(b) ELIGIBILITY.—To be eligible to participate in 
the Medical School Scholarship Program, an individual 
must— 
‘‘(1) be accepted for enrollment as a full-time 
student— 
‘‘(A) in an accredited (as determined by 
the Secretary) educational institution in a 
State; and 
‘‘(B) in a course of study, or program, of-
fered by such institution leading to a degree in 
medicine or osteopathic medicine; 
‘‘(2) be eligible for, or hold, an appointment as 
a commissioned officer in the Regular or Reserve 
Corps of the Service or be eligible for selection for 
civilian service in the Corps; 
‘‘(3) submit an application to participate in the 
Medical School Scholarship Program; and 
‘‘(4) sign and submit to the Secretary, at the 
time of submittal of such application, a written con-
tract (described in subsection (f)) to accept payment 
of a scholarship and to serve (in accordance with 
this subpart) for the applicable period of obligated 
service in a health professional shortage area. 
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‘‘(c) APPLICATION, CONTRACT, AND INFORMATION 
REQUIREMENTS.— 
‘‘(1) SUMMARY
AND
INFORMATION.—In dis-
seminating application forms and contract forms to 
individuals desiring to participate in the Medical 
School Scholarship Program, the Secretary shall in-
clude with such forms— 
‘‘(A) a fair summary of the rights and li-
abilities of an individual whose application is 
approved (and whose contract is accepted) by 
the Secretary, including in the summary a clear 
explanation of the damages to which the United 
States is entitled under section 338E in the 
case of the individual’s breach of the contract; 
and 
‘‘(B) information respecting meeting a 
service obligation through private practice 
under an agreement under section 338D and 
such other information as may be necessary for 
the individual to understand the individual’s 
prospective participation in the Medical School 
Scholarship Program and service in the Corps, 
including a statement of all factors considered 
in approving applications for participation in 
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the Program and in making assignments for 
participants in the Program. 
‘‘(2) UNDERSTANDABILITY AND CLARITY.—The 
application form, contract form, and all other infor-
mation furnished by the Secretary under this sub-
part shall be written in a manner calculated to be 
understood by the average individual applying to 
participate in the Medical School Scholarship Pro-
gram. 
‘‘(3) AVAILABILITY.—The Secretary shall make 
such application forms, contract forms, and other in-
formation available to individuals desiring to partici-
pate in the Medical School Scholarship Program on 
a date sufficiently early to ensure that such individ-
uals have adequate time to carefully review and 
evaluate such forms and information. 
‘‘(4) RECRUITMENT AND RETENTION.— 
‘‘(A) DISTRIBUTION OF MATERIALS.—The 
Secretary shall distribute to schools of medi-
cine, schools of osteopathic medicine, and med-
ical organizations participating in a medical 
pipeline program described in section 749 mate-
rials providing information on the Medical 
School Scholarship Program and shall encour-
age the schools and organizations to dissemi-
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nate the materials to students of the schools 
and students being recruited through the med-
ical pipeline program. 
‘‘(B) RETENTION
OF
HEALTH
PROFES-
SIONALS IN SHORTAGE AREAS.— 
‘‘(i) HEALTH PROFESSIONALS NEAR-
ING
COMPLETION
OF
OBLIGATED
SERV-
ICE.—In the case of any health profes-
sional whose period of obligated service 
under the Medical School Scholarship Pro-
gram is nearing completion, the Secretary 
shall encourage the individual to remain in 
a health professional shortage area and to 
continue providing primary health services. 
‘‘(ii) HEALTH
PROFESSIONALS
MAK-
ING
A
TRANSITION
TO
PRIVATE
PRAC-
TICE.—During the period in which a 
health professional is planning and making 
the transition to private practice from obli-
gated service under the Medical School 
Scholarship Program, the Secretary may 
provide assistance to the professional re-
garding such transition if the professional 
is remaining in a health professional short-
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age area and is continuing to provide pri-
mary health services. 
‘‘(C) OPTIONS
TO
ENCOURAGE
HEALTH 
PROFESSIONALS TO REMAIN IN HEALTH PRO-
FESSIONAL SHORTAGE AREAS.—In the case of 
entities to which participants in the Medical 
School Scholarship Program are assigned under 
section 333, the Secretary shall encourage the 
entities to provide options with respect to as-
sisting the participants in remaining in the 
health professional shortage areas involved, and 
in continuing to provide primary health serv-
ices, after the period of obligated service under 
the Medical School Scholarship Program is 
completed. The options with respect to which 
the Secretary provides such encouragement may 
include options regarding the sharing of a sin-
gle employment position in the health profes-
sions by 2 or more health professionals, and op-
tions regarding the recruitment of couples 
where both of the individuals are health profes-
sionals. 
‘‘(d) CONSIDERATIONS IN PROVIDING CONTRACTS.— 
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‘‘(1) FACTORS.—Subject to section 333A, in 
providing contracts under the Medical School Schol-
arship Program, the Secretary— 
‘‘(A) shall consider— 
‘‘(i) the extent of the demonstrated in-
terest of the applicants for the contracts in 
providing primary health services; and 
‘‘(ii) the extent of the demonstrated 
interest of the applicants for the contracts 
in working with underserved communities; 
and 
‘‘(B) may consider such other factors re-
garding the applicants as the Secretary deter-
mines to be relevant to selecting qualified indi-
viduals to participate in such Program. 
‘‘(2) HIGHEST
PRIORITY.—In providing con-
tracts under the Medical School Scholarship Pro-
gram, the Secretary shall give highest priority to any 
application for such a contract submitted by an indi-
vidual who has been recruited and admitted to a 
medical school through a medical pipeline program 
described in section 749. 
‘‘(3) SECOND-HIGHEST PRIORITY.—In providing 
contracts under the Medical School Scholarship Pro-
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gram, the Secretary shall give second-highest pri-
ority— 
‘‘(A) to any application for such a contract 
submitted by an individual who has (and whose 
spouse, if any, has) characteristics that increase 
the probability that the individual will continue 
to serve in a health professional shortage area 
after the period of obligated service pursuant to 
subsection (f) is completed; and 
‘‘(B) subject to subparagraph (A), to any 
application for such a contract submitted by an 
individual who is from a disadvantaged back-
ground and who would otherwise be unable to 
afford a medical school education. 
‘‘(e) APPROVAL REQUIRED.— 
‘‘(1) APPROVAL OF PARTICIPATION.—An indi-
vidual becomes a participant in the Medical School 
Scholarship Program only upon the Secretary’s ap-
proval of the individual’s application submitted 
under subsection (b)(3) and the Secretary’s accept-
ance of the contract submitted by the individual 
under subsection (b)(4). 
‘‘(2) WRITTEN
NOTICE.—The Secretary shall 
provide written notice to an individual promptly 
upon the Secretary’s approving, under paragraph 
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(1), of the individual’s participation in the Medical 
School Scholarship Program. 
‘‘(f) CONTENTS OF CONTRACTS.—The written con-
tract (referred to in this subpart) between the Secretary 
and an individual shall contain— 
‘‘(1) an agreement that— 
‘‘(A) subject to paragraph (2), the Sec-
retary agrees— 
‘‘(i) to provide the individual with a 
scholarship (described in subsection (g)) 
during the entire period in which the indi-
vidual is pursuing a course of study de-
scribed in subsection (b)(1)(B), with such 
period not to exceed 5 years; and 
‘‘(ii) to accept (subject to the avail-
ability of appropriated funds for carrying 
out sections 331 through 335 and section 
337) the individual into the Corps (or for 
equivalent service as otherwise provided in 
this subpart); and 
‘‘(B) subject to paragraph (2), the indi-
vidual agrees— 
‘‘(i) to accept provision of such a 
scholarship to the individual; 
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‘‘(ii) to maintain enrollment in a 
course of study described in subsection 
(b)(1)(B) until the individual completes the 
course of study; 
‘‘(iii) while enrolled in such course of 
study, to maintain an acceptable level of 
academic standing (as determined under 
regulations of the Secretary by the edu-
cational institution offering such course of 
study); 
‘‘(iv) to complete a residency in a spe-
cialty that the Secretary determines is con-
sistent with the needs of the Corps, except 
that the Secretary shall not determine the 
location of the residency training; and 
‘‘(v) to serve for a time period (here-
inafter in the subpart referred to as the 
‘period of obligated service’) equal to 6 
years, as a provider of primary health serv-
ices in a health professional shortage area 
(designated under section 332) to which 
the individual is assigned by the Secretary 
as a member of the Corps, or as otherwise 
provided in this subpart; 
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‘‘(2) a provision that any financial obligation of 
the United States arising out of a contract entered 
into under this subpart and any obligation of the in-
dividual which is conditioned thereon, is contingent 
upon funds being appropriated for scholarships 
under this subpart and to carry out the purposes of 
sections 331 through 335 and sections 337 and 338; 
‘‘(3) a statement of the damages to which the 
United States is entitled, under section 338E for the 
individual’s breach of the contract; and 
‘‘(4) such other statements of the rights and li-
abilities of the Secretary and of the individual, not 
inconsistent with the provisions of this subpart. 
‘‘(g) SCHOLARSHIPS.— 
‘‘(1) IN GENERAL.—A scholarship provided to a 
student for a school year under a written contract 
under the Medical School Scholarship Program shall 
consist of— 
‘‘(A) payment to, or (in accordance with 
paragraph (2)) on behalf of, the student of the 
amount (except as provided in section 711) of— 
‘‘(i) the tuition of the student in such 
school year; and 
‘‘(ii) all other reasonable educational 
expenses, including fees, books, and labora-
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tory expenses, incurred by the student in 
such school year; and 
‘‘(B) payment to the student of a stipend 
of— 
‘‘(i) $2500 per month (adjusted in ac-
cordance with paragraph (3)) for each of 
the 12 consecutive months beginning with 
the first month of such school year during 
the first and second school years of the 
program of study leading to a degree in 
medicine or osteopathic medicine; and 
‘‘(ii) $3000 per month (adjusted in 
accordance with paragraph (3)) for each of 
the 12 consecutive months beginning with 
the first month of such school year during 
each subsequent school year of the pro-
gram of study leading to a degree in medi-
cine or osteopathic medicine. 
‘‘(2) CONTRACTS WITH SCHOOLS OF MEDICINE 
AND
SCHOOLS
OF
OSTEOPATHIC
MEDICINE.—The 
Secretary may contract with a school of medicine or 
school of osteopathic medicine, in which a partici-
pant in the Medical School Scholarship Program is 
enrolled, for the payment to the school of the 
amounts of tuition and other reasonable educational 
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expenses described in paragraph (1)(A). Payment to 
such a school may be made without regard to section 
3648 of the Revised Statutes (31 U.S.C. 529). 
‘‘(3) ADJUSTMENT
OF
MONTHLY
STIPEND.— 
The amount of the monthly stipend, specified in 
paragraph (1)(B) and as previously adjusted (if at 
all) in accordance with this paragraph, shall be in-
creased by the Secretary for each school year ending 
in a fiscal year beginning after September 30, 2010, 
by an amount (rounded to the next highest multiple 
of $1) equal to the amount of such stipend multi-
plied by the overall percentage (under section 5303 
of title 5, United States Code) of the adjustment (if 
such adjustment is an increase) in the rates of pay 
under the General Schedule made effective in the 
fiscal year in which such school year ends. 
‘‘(h) EMPLOYMENT CEILING.—Notwithstanding any 
other provision of law, individuals who have entered into 
written contracts with the Secretary under this section, 
while undergoing academic training, shall not be counted 
against any employment ceiling affecting the Department. 
‘‘(i) AUTHORIZATION OF APPROPRIATIONS.—There is 
authorized to be appropriated $425,000,000 for fiscal year 
2007 and such sums as may be necessary in each fiscal 
year thereafter to carry out this section.’’. 
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(b) OBLIGATED SERVICE.—Section 338C of such Act 
(42 U.S.C. 254m) is amended— 
(1) in subsection (a) by striking ‘‘338A’’ and 
inserting ‘‘338A, 338A–1,’’; 
(2) 
in 
subsection 
(b)(1) 
by 
striking 
‘‘338A(f)(1)(B)(v)’’ 
and 
inserting 
‘‘338A(f)(1)(B)(v), 338A–1(f)(1)(B)(v),’’; and 
(3) in subsection (b)(5)(A) by striking ‘‘the 
Scholarship Program’’ and inserting ‘‘the Scholar-
ship Program and the Medical School Scholarship 
Program’’. 
(c) PRIVATE PRACTICE.—Section 338D of such Act 
(42 U.S.C. 254n) is amended— 
(1) in subsection (a)(1) by striking ‘‘the Schol-
arship Program’’ and inserting ‘‘the Scholarship 
Program or the Medical School Scholarship Pro-
gram’’; and 
(2) in subsection (c) by striking ‘‘338A’’ and in-
serting ‘‘338A, 338A–1,’’. 
(d) BREACH OF SCHOLARSHIP CONTRACT.—Section 
338E of such Act (42 U.S.C. 254o) is amended— 
(1) by striking ‘‘338A’’ each place it appears 
and inserting ‘‘338A or 338A–1’’; 
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(2) by striking ‘‘the Scholarship Program’’ each 
place it appears and inserting ‘‘the Scholarship Pro-
gram or the Medical School Scholarship Program’’; 
(3) 
in 
subsection 
(b)(1)(A) 
by 
striking 
‘‘338A(f)(1)(B)(iv)’’ 
and 
inserting 
‘‘338A(f)(1)(B)(iv) or 338A–1(f)(1)(B)(iv)’’; 
(4) 
in 
subsection 
(b)(3)(B) 
by 
striking 
‘‘338A(g)’’ and inserting ‘‘338A(g) or 338A–1(g)’’; 
and 
(5) in subsection (d)(3)(B)(i) by striking ‘‘the 
Scholarship or Loan Repayment Program (or con-
tract thereunder)’’ and inserting ‘‘the Scholarship 
Program, the Medical School Scholarship Program, 
or the Loan Repayment Program (or a contract 
under any of such programs)’’. 
(e) FUND REGARDING USE OF AMOUNTS RECOV-
ERED FOR CONTRACT BREACH TO REPLACE SERVICES 
LOST AS RESULT OF BREACH.—Section 338F of such Act 
(42 U.S.C. 254o–1) is amended by striking ‘‘338A’’ each 
place it appears and inserting ‘‘338A, 338A–1,’’. 
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SEC. 4. GRANTS TO INCREASE THE NUMBER OF AVAILABLE 
SLOTS FOR NEWLY ADMITTED MEDICAL STU-
DENTS AND TO INCREASE PARTICIPATION IN 
THE NATIONAL HEALTH SERVICE CORPS 
MEDICAL SCHOOL SCHOLARSHIP PROGRAM. 
Part C of title VII of the Public Health Service Act 
(42 U.S.C. 293k et seq.) is amended by adding at the end 
the following: 
‘‘SEC. 749. GRANTS TO INCREASE THE NUMBER OF AVAIL-
ABLE SLOTS FOR NEWLY ADMITTED MEDICAL 
STUDENTS AND TO INCREASE PARTICIPA-
TION IN THE NATIONAL HEALTH SERVICE 
CORPS 
MEDICAL 
SCHOOL 
SCHOLARSHIP 
PROGRAM. 
‘‘(a) GRANTS TO MEDICAL SCHOOLS.— 
‘‘(1) PROGRAM
AUTHORIZED.—The Secretary 
may make grants to medical schools for the fol-
lowing purposes: 
‘‘(A) To increase the capacity of the recipi-
ent medical school to accept additional medical 
students each year. 
‘‘(B) To develop curriculum. 
‘‘(C) To acquire equipment. 
‘‘(D) To recruit, train, and retain faculty. 
‘‘(E) To provide assistance to students who 
have completed a course of study at the recipi-
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ent medical school during the period in which 
such students are completing a residency pro-
gram affiliated with the recipient medical 
school. 
‘‘(2) APPLICATION.—A medical school seeking a 
grant under this subsection shall submit an applica-
tion to the Secretary at such time, in such manner, 
and containing such information as the Secretary 
may require. 
‘‘(3) PRIORITY FOR ADDITIONAL SLOTS.—Pri-
ority for additional slots made available using funds 
from a grant awarded under this subsection shall be 
given to students who have been recruited by the re-
cipient medical school through a medical school pipe-
line program described in subsection (b)(2). 
‘‘(b) GRANTS TO MEDICAL ORGANIZATIONS.— 
‘‘(1) PROGRAM
AUTHORIZED.—The Secretary 
may make grants to eligible medical organizations 
for the following purposes: 
‘‘(A) To recruit students to participate in 
the National Health Service Corps Medical 
School Scholarship Program authorized by sec-
tion 338A–1 (in this section referred to as the 
‘Medical School Scholarship Program’). 
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‘‘(B) To participate in a medical school 
pipeline program described in paragraph (2). 
‘‘(2) MEDICAL SCHOOL PIPELINE PROGRAM.—A 
medical school pipeline program is a program to tar-
get minority students to increase the number of mi-
nority health professionals serving medically under-
served communities through activities including tu-
toring, course development, and other student sup-
port designed to recruit students from middle 
schools, high schools, and universities to participate 
in the Medical School Scholarship Program. 
‘‘(3) GRANT
AMOUNTS.—The Secretary shall 
determine the amount of a grant based on factors 
including the cost of living and health care needs of 
the State for which students are recruited. 
‘‘(4) APPLICATION.—A medical organization 
seeking a grant under this subsection shall submit 
an application to the Secretary at such time, in such 
manner, and containing such information as the Sec-
retary may require, including— 
‘‘(A) a description of how the organization 
will carry out the purposes described in sub-
section (b)(1); 
‘‘(B) a description of goals and objectives 
with respect to— 
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‘‘(i) the intended number of students 
to be accepted and graduated from medical 
schools each year under the grant program 
established under this subsection; 
‘‘(ii) the intended number of newly 
graduated students who will serve in medi-
cally underserved communities; and 
‘‘(iii) the intended number of individ-
uals in medically underserved communities 
who will have access to primary care physi-
cians as a result of the increase in grad-
uating physicians under the grant pro-
gram; and 
‘‘(C) information regarding the anticipated 
number of Medical School Scholarship students 
the organization seeks to recruit. 
‘‘(5) REPORTS REQUIRED.— 
‘‘(A) GRANT RECIPIENTS.—A recipient of 
a grant under this subsection shall submit to 
the Secretary at the end of each fiscal year in 
which a grant is received, a report containing 
the following: 
‘‘(i) The amount of the grant received 
under this subsection. 
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‘‘(ii) An expense report detailing the 
use of amounts from a grant under this 
subsection. 
‘‘(iii) A description of the results of 
the use of amounts from a grant under 
this subsection. 
‘‘(B) SECRETARY.—At the end of each fis-
cal year in which grants under this subsection 
are made, the Secretary shall compile and sub-
mit to Congress the information received under 
paragraph (5)(A). 
‘‘(c) DEFINITIONS.—In this section, the following 
definitions apply: 
‘‘(1) MEDICAL
SCHOOL.—The term ‘medical 
school’ means a school of medicine or a school of os-
teopathic medicine. 
‘‘(2) MEDICAL
SCHOOL
SCHOLARSHIP
STU-
DENT.—The term ‘Medical School Scholarship Stu-
dent’ means a student who is a recipient of a schol-
arship under the Health Service Corps Medical 
School Scholarship Program authorized by section 
338A–1. 
‘‘(3) 
MEDICAL
ORGANIZATION.—The 
term 
‘medical organization’ means a national, State, local, 
or community-based public or nonprofit private orga-
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nization having as its mission the goal of identifying 
and recruiting minority students for health profes-
sions. 
‘‘(d) AUTHORIZATION OF APPROPRIATIONS.—There 
is authorized to be appropriated— 
‘‘(1) $500,000,000 for fiscal year 2007 and 
such sums as may be necessary in each fiscal year 
thereafter to carry out subsection (a); and 
‘‘(2) $35,000,000 for fiscal year 2007 and such 
sums as may be necessary in each fiscal year there-
after to carry out subsection (b).’’. 
SEC. 5. EXPANSION OF RESIDENCY PROGRAMS AND PRI-
MARY CARE SERVICES OFFERED BY COMMU-
NITY HEALTH CENTERS. 
Part C of title VII of the Public Health Service Act 
(42 U.S.C. 293k et seq.) is amended by adding after sec-
tion 749 the following: 
‘‘SEC. 749A. GRANTS TO ESTABLISH MEDICAL RESIDENCY 
PROGRAMS AT COMMUNITY HEALTH CEN-
TERS. 
‘‘(a) PROGRAM AUTHORIZED.—The Secretary may 
make grants to community health centers to establish, at 
the centers, new or alternative-campus accredited medical 
residency programs affiliated with accredited medical pro-
grams. 
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‘‘(b) USE OF FUNDS.—Amounts from a grant under 
this section shall be used to cover the costs of establishing 
the medical residency program described in subsection (a), 
including costs associated with— 
‘‘(1) curriculum development; 
‘‘(2) equipment acquisition; and 
‘‘(3) recruitment, training, and retention of 
residents and faculty. 
‘‘(c) APPLICATIONS.—A community health center 
seeking a grant under this section shall submit an applica-
tion to the Secretary at such time, in such manner, and 
containing such information as the Secretary may require. 
‘‘(d) REVIEW OF APPLICATIONS.—In reviewing appli-
cations submitted under subsection (c), and in selecting 
recipients for a grant under this section, the Secretary 
shall give preference to funding medical residency pro-
grams focusing on providing training in primary care, psy-
chiatric care, and emergency care medicine. 
‘‘(e) DEFINITIONS.—In this section, the following 
definitions apply: 
‘‘(1) ACCREDITED.—The term ‘accredited’, as 
applied to a new or alternative-campus medical resi-
dency program, means a program that is accredited 
by a recognized body or bodies approved for such 
purpose by the Accreditation Council for Graduate 
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Medical Education, except that a new medical resi-
dency program that, by reason of an insufficient pe-
riod of operation, is not eligible for accreditation on 
or before the date of submission of an application 
under subsection (c) shall be deemed accredited if 
the Accreditation Council for Graduate Medical 
Education finds, after consultation with the appro-
priate accreditation body or bodies, that there is rea-
sonable assurance that the program will meet the ac-
creditation standards of such body or bodies prior to 
the date of graduation of the first entering class in 
that program. 
‘‘(2) COMMUNITY HEALTH CENTER.—The term 
‘community health center’ means a health center as 
defined in section 330. 
‘‘(3) MEDICAL PROGRAM.—The term ‘medical 
program’ means a program in medicine or a pro-
gram in osteopathic medicine. 
‘‘SEC. 749B. GRANTS TO IMPROVE DELIVERY OF PRIMARY 
CARE SERVICES IN COMMUNITY HEALTH 
CENTERS. 
‘‘(a) PRIMARY CARE ACCESS GRANTS.— 
‘‘(1) PROGRAM AUTHORIZED.—The Secretary, 
acting through the Administrator of the Health Re-
sources and Services Administration, may make 
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grants to community health centers for the purpose 
of increasing the number of medical service pro-
viders associated with such centers. 
‘‘(2) GRANTS.—A recipient of a grant under 
this subsection shall be eligible to receive such 
grants for five fiscal years. 
‘‘(3) USE OF FUNDS.—A recipient of a grant 
under this subsection shall use amounts from the 
grant for one or more of the following activities: 
‘‘(A) To recruit residents for medical resi-
dency programs at community health centers 
from among students who are recipients of a 
scholarship under the National Health Service 
Corps Medical School Scholarship Program au-
thorized by section 338A–1. 
‘‘(B) To establish a multi-community phy-
sician mentoring program to encourage upper 
level residents to remain in the State in which 
the community health center and medical resi-
dency program are located. 
‘‘(C) To enter into contracts for technical 
assistance for the purpose of recruiting or re-
taining primary care staff. 
‘‘(D) To enter into contracts for technical 
assistance in preparing contracts with local pro-
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viders of primary health care to provide services 
for medically underserved communities. 
‘‘(4) APPLICATION.—A community health cen-
ter seeking a grant under this subsection shall sub-
mit an application to the Secretary at such time, in 
such manner, and containing such information as 
the Secretary may require. 
‘‘(b) GRANTS FOR PRIMARY CARE FACILITY CAPITAL 
EXPENDITURES.— 
‘‘(1) PROGRAM AUTHORIZED.—The Secretary, 
acting through the Administrator, may make grants 
to community health centers for the purpose of in-
creasing primary care capabilities through the con-
struction, expansion, or renovation of facilities. 
‘‘(2) GRANTS.—A recipient of a grant under 
this subsection shall be eligible to receive such 
grants for 5 fiscal years. 
‘‘(3) USE OF FUNDS.—A recipient of a grant 
under this subsection shall use amounts from the 
grant for one or more of the following activities: 
‘‘(A) To acquire or lease facilities. 
‘‘(B) To construct new facilities. 
‘‘(C) To repair or modernize existing facili-
ties. 
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‘‘(D) To purchase or lease medical equip-
ment. 
‘‘(c) DEFINITIONS.—In this section, the following 
definitions apply: 
‘‘(1) COMMUNITY HEALTH CENTER.—The term 
‘community health center’ means a health center as 
defined in section 330. 
‘‘(2) MEDICAL
SCHOOL.—The term ‘medical 
school’ means a school of medicine or a school of os-
teopathic medicine. 
‘‘SEC. 749C. AUTHORIZATION OF APPROPRIATIONS TO AS-
SIST COMMUNITY HEALTH CENTERS. 
‘‘There 
is 
authorized 
to 
be 
appropriated 
$200,000,000 for fiscal year 2007 and such sums as may 
be necessary for each fiscal year thereafter to carry out 
sections 749A and 749B.’’. 
Æ 
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