I 116th CONGRESS 1st Session H. R. 1685 IN THE HOUSE OF REPRESENTATIVES March 12, 2019 Ms. Bass introduced the following bill; which was referred to the Committee on Education and Labor A BILL To amend the Higher Education Act of 1965 to improve education opportunities for physician assistants, and for other purposes.

1. Short title This Act may be cited as the Physician Assistant Higher Education Modernization Act of 2019 . 2. Instituting Borrowing Parity for physician assistant students under the Federal Direct Loan Program (a) In general Section 455 of the Higher Education Act of 1965 ( 20 U.S.C. 1087e ) is amended by adding at the end the following: (r) Instituting Borrowing Parity for physician assistant students Notwithstanding section 428H(d)(2)(A), the maximum annual amount of Federal Direct Unsubsidized Stafford Loans that a graduate student in a physician assistant education program (as defined in section 799B of the Public Health Service Act ( 42 U.S.C. 295p )) may borrow in any academic year (as defined in section 481(a)(2)) or its equivalent shall be— (1) $40,000 in the first academic year of such program; (2) $40,000 in the second academic year of such program; and (3) $15,000 in the third academic year of such program. . (b) Effective date The amendment made by this section shall apply with respect to award years beginning more than 60 days after the date of enactment of this Act. 3. Making physician assistants eligible for incentives when serving as primary care providers or faculty members (a) In general Section 428K of the Higher Education Act of 1965 ( 20 U.S.C. 1078–11 ) is amended— (1) in subsection (b), by adding at the end the following: (19) Physician assistants The individual is a physician assistant employed full-time— (A) as a physician assistant in a clinical setting providing primary care services; or (B) as a member of the physician assistant faculty at a physician assistant education program (as defined in section 799B of the Public Health Service Act ( 42 U.S.C. 295p )). ; (2) in subsection (g), by adding at the end the following: (11) Physician assistant The term physician assistant means an individual who— (A) graduated from a physician assistant education program (as defined in section 799B of the Public Health Service Act ( 42 U.S.C. 295p )); (B) is certified as a physician assistant by the National Commission on the Certification of Physician Assistants or any successor organization; and (C) either— (i) holds a valid and unrestricted license to practice medicine as a physician assistant in the State in which the physician assistant practices in a clinical setting; or (ii) is qualified for licensure in the State where the individual is employed as a full-time physician assistant faculty member of a physician assistant education program (as defined in section 799B of the Public Health Service Act ( 42 U.S.C. 295p )). ; and (3) in subsection (h), by striking fiscal year 2009 and inserting fiscal year 2020 . (b) Effective date The amendments made by this section shall apply with respect to employment occurring on or after the date of the enactment of this Act. 4. Grants for physician assistant programs at historically black colleges and universities and predominantly black institutions (a) Historically black colleges and universities Section 723 of the Higher Education Act of 1965 ( 20 U.S.C. 1136a ) is amended— (1) in subsection (a)(1), by inserting physician assistant studies, after allied health, ; (2) in subsection (b)(2)(A), by inserting physician assistant studies, after allied health, ; and (3) in subsection (d)— (A) in paragraph (4), by inserting physician assistant studies, after allied health, ; (B) in paragraph (11), by striking and at the end; (C) by redesignating paragraph (12) as paragraph (13); and (D) by inserting after paragraph (11) the following: (12) in the case of a grant for a physician assistant education program (as defined in section 799B of the Public Health Service Act ( 42 U.S.C. 295p ))— (A) creating or improving facilities for Internet or other distance education technologies, including purchase or rental of telecommunications technology equipment or services; and (B) collaborating with other institutions of higher education to expand postbaccalaureate degree offerings; and . (b) Predominantly black institutions Section 724 of the Higher Education Act of 1965 ( 20 U.S.C. 1136b ) is amended— (1) in subsection (a)(1), by inserting physician assistant studies, after allied health, ; (2) in subsection (b)(2)(A), by inserting physician assistant studies, after allied health, ; and (3) in subsection (d)— (A) in paragraph (4), by inserting physician assistant studies, after allied health, ; (B) by redesignating paragraph (12) as paragraph (13); and (C) by inserting after paragraph (11) the following: (12) in the case of a grant for a physician assistant education program (as defined in section 799B of the Public Health Service Act ( 42 U.S.C. 295p ))— (A) creating or improving facilities for Internet or other distance education technologies, including purchase or rental of telecommunications technology equipment or services; and (B) collaborating with other institutions of higher education to expand postbaccalaureate degree offerings; and . (c) Extension of authorization of appropriations Subsections (a) and (b) of section 725 of the Higher Education Act of 1965 ( 20 U.S.C. 1136c ) are each amended by striking fiscal year 2009 and inserting fiscal year 2020 . 5. Physician assistant postbaccalaureate opportunities for Hispanic Americans (a) In general Section 514 of the Higher Education Act of 1965 ( 20 U.S.C. 1102c ) is amended by adding at the end the following: (d) Priority for physician assistant education programs The Secretary shall give preference to an application by an eligible institution for a grant under this part that demonstrates that the grant funds awarded under this part will be used to support physician assistant education programs (as defined in section 799B of the Public Health Service Act ( 42 U.S.C. 295p )). . (b) Extension of authorization of appropriations Section 528(a)(2) of the Higher Education Act of 1965 ( 20 U.S.C. 1103g(a)(2) ) is amended— (1) by striking $100,000,000 for fiscal year 2009 and ; and (2) by inserting after such sums as may be necessary for the following: fiscal year 2020 and . 6. Grants to rural serving institutions of higher education for physician assistant education programs Part Q of title VIII of the Higher Education Act of 1965 ( 20 U.S.C. 1161q ) is amended— (1) in section 861(b), by striking For the purposes of this section and inserting For the purposes of this part ; and (2) by inserting after section 861 the following: 862. Grants to support the development and expansion of physician assistant education programs at rural-serving institutions of higher education (a) Grants (1) In general The Secretary is authorized to award grants on a competitive basis to a rural-serving institution of higher education or a consortium of such institutions— (A) to increase, for students from rural areas, enrollment and graduation rates for postbaccalaureate physician assistant education programs; and (B) to train physician assistants in rural areas through the development of new physician assistant education programs and the expansion of existing physician assistant education programs in rural areas. (2) Duration A grant awarded under this section shall be awarded for a period of not longer than 3 years. (3) Limitations A rural-serving institution of higher education or a consortium of such institutions shall not receive more than one grant under this section. (b) Applications (1) In general Each rural-serving institution of higher education or consortium of such institutions desiring a grant under this section shall submit to the Secretary an application at such time, in such manner, and containing such information as the Secretary may require. (2) Priority In awarding grants under this section, the Secretary shall give priority to applications that demonstrate the most potential and propose the most promising and innovative approaches for— (A) creating new physician assistant education programs in rural areas; (B) increasing the number of physician assistants that practice medicine in rural areas; (C) meeting the employment needs of regional employers of physician assistants with graduates of physician assistant education programs at rural-serving institutions of higher education; and (D) improving the health of Americans residing in rural areas. (c) Use of funds A rural-serving institution of higher education or consortium of such institutions that receives a grant under this section shall use grant funds for the establishment and expansion of physician assistant education programs in rural areas. (d) Physician assistant education program In this section, the term physician assistant education program has the meaning given to such term in section 799B of the Public Health Service Act ( 42 U.S.C. 295p ). (e) Authorization of appropriations There are authorized to be appropriated to carry out this section such sums as may be necessary for fiscal year 2020 and each of the five succeeding fiscal years. . 7. Improving physician assistant education programs Title VIII of the Higher Education Act of 1965 is amended by inserting after section 898 ( 20 U.S.C. 1161aa–1 ) the following: BB Physician assistant education enhancement 899. Demonstration program to support physician assistant faculty preparation (a) Grants (1) In general The Secretary shall provide grants to not more than 10 institutions of higher education to develop, expand, and support graduate-level programs to prepare certified physician assistants to become physician assistant faculty members in accredited graduate-level physician assistant education programs through collaboration between such a program and an institution of higher education that awards a graduate degree in education. (2) Cap No institution of higher education may receive more than an aggregate of $600,000 under this section during fiscal years 2020, 2021, and 2022. (b) Application (1) In general An institution of higher education desiring a grant under this section shall submit to the Secretary, at such time and in such manner as the Secretary may require, an application including— (A) a description of the intended collaboration to develop, expand, and support graduate-level programs to prepare certified physician assistants to become physician assistant faculty members in accredited graduate-level physician assistant education programs; and (B) an estimate of the number of students who will be affected by such collaboration. (2) Priority The Secretary shall give priority to applications that demonstrate the potential to maximize quality instruction through the use of technology. (c) Report Not later than 18 months after the date of the first grant under this section, the Secretary shall submit to Congress a report that— (1) describes the steps taken to implement this section; and (2) lists all recipients of grants under this section as of the date of such submission. (d) Definitions In this section: (1) Institution of higher education The term institution of higher education has the meaning given such term in section 101. (2) Physician assistant education program The term physician assistant education program has the meaning given such term in section 799B of the Public Health Service Act ( 42 U.S.C. 295p ). (e) Authorization of appropriations There are authorized to be appropriated such sums as may be necessary to carry out this section for fiscal years 2020 through 2022. 899A. Grants for infrastructure and technology improvements in physician assistant education programs (a) Grants (1) In general The Secretary is authorized to award grants, on a competitive basis, to not more than 20 physician assistant education programs to enhance physician assistant education programs and improve patient safety by supporting the purchase of new infrastructure and technology. (2) Duration A grant awarded under this section shall be awarded for a period of not longer than five years. (b) Application (1) In general A physician assistant education program may apply for a grant under this section by submitting an application to the Secretary at such time and in such manner as the Secretary may require that demonstrates how the grant funds will be used to improve physician assistant education programs and patient safety with respect to such programs. (2) Priority In awarding grants under this section, the Secretary shall give priority to applications that demonstrate the potential to— (A) increase the number of physician assistant graduates; and (B) maximize accessibility to new and emerging technologies, including human patient simulators for physician assistant education programs, through partnerships between the grant recipient and other institutions of higher education. (c) Use of funds A physician assistant education program that receives a grant awarded under this section may use the grant for one or more of the following purposes: (1) Purchase, rental, or lease of scientific, medical or laboratory equipment, including human patient simulators and other new and emerging technologies, for education purposes, including instructional and research purposes. (2) Construction, maintenance and renovation, and improvement of classrooms, libraries, laboratories, and other instructional facilities, including purchase or rental of telecommunications technology equipment or services. (3) Supporting faculty training in the use of new and emerging technologies, including human patient simulators. (4) Other activities proposed in the application submitted pursuant to subsection (b) that— (A) contribute to carrying out the purposes of this section; and (B) are approved by the Secretary as part of the review and acceptance of such application. (d) Definitions In this section: (1) Physician assistant education program The term physician assistant education program has the meaning given such term in section 799B of the Public Health Service Act ( 42 U.S.C. 295p ). (2) Human patient simulator The term human patient simulator means a computerized device that is anatomically precise and responds physiologically to interventions. (e) Authorization of appropriations There are authorized to be appropriated to carry out this section such sums as may be necessary for fiscal year 2020 and each of the five succeeding fiscal years. .