II 118th CONGRESS 1st Session S. 1403 IN THE SENATE OF THE UNITED STATES May 2, 2023 Mr. Mullin (for himself and Ms. Rosen ) introduced the following bill; which was read twice and referred to the Committee on Health, Education, Labor, and Pensions A BILL To amend the Public Health Service Act to establish a grant program to award grants to accredited public institutions of higher education, and for other purposes.

1. Short title This Act may be cited as the Medical Student Education Authorization Act of 2023 . 2. Education program to support primary health care for medically underserved communities Part B of title VII of the Public Health Service Act ( 42 U.S.C. 293 et seq. ) is amended by adding at the end the following: 742. Education program to support primary health care for medically underserved communities (a) Establishment The Secretary, acting through the Administrator of the Health Resources and Services Administration, shall establish a grant program to award grants to accredited public institutions of higher education to carry out the activities described in subsection (d) for the purposes of— (1) expanding and supporting education for medical students who are preparing to become physicians; and (2) preparing and encouraging each such student trained by a grantee to serve in a Tribal, rural, or medically underserved community as a primary care physician after completing residency training. (b) Eligibility In order to be eligible to receive a grant under this section, an accredited public institution of higher education shall— (1) be located in a State that is in the top quintile of States by a projected shortage of primary care physicians, as determined by the Secretary; and (2) submit an application to the Secretary at such time, in such manner, and containing such information as the Secretary may require, that includes— (A) a certification that such institution will use amounts provided to the institution through the grant to carry out the activities described in subsection (d); and (B) a description of how such institution will carry out such activities. (c) Priority In awarding grants under this section, the Secretary shall give priority to accredited public institutions of higher education that meet the eligibility requirements of subsection (b) and— (1) are located in a State with not fewer than 2 Indian Tribes or Tribal organizations (as such terms are defined in section 4 of the Indian Self-Determination and Education Assistance Act); and (2) have established, or demonstrate plans to establish, a public-private partnership that supports the purposes described in subsection (a). (d) Use of funds An eligible entity that receives a grant under this section shall, as appropriate, use the funds made available under such grant to carry out the following activities: (1) Support or expand community-based and experiential training for medical students who will practice in or serve Tribal, rural, and medically underserved communities. (2) Develop and operate programs to train medical students in the provision of primary care services, which may include developing training programs and activities that— (A) emphasize care for Tribal, rural, or medically underserved communities; (B) are applicable to primary care practice with respect to individuals from Tribal, rural, or medically underserved communities; (C) support the use of telehealth technologies and practices; (D) integrate mental health and substance use disorder care into primary care practice, including prevention and treatment of opioid use disorders and other substance use disorders; and (E) promote interdisciplinary training. (3) Increase the capacity of faculty to develop and operate programs described in paragraph (2). (4) Develop or expand strategic partnerships, such as public-private partnerships, to improve health outcomes for individuals from Tribal, rural, and medically underserved communities, which partnerships may include— (A) federally recognized Tribes, Tribal Colleges or Universities (as such term is defined in section 316 of the Higher Education Act of 1965), and Tribal organizations (as such term is defined in section 4 of the Indian Self-Determination and Education Assistance Act); (B) Federally-qualified health centers; (C) rural health clinics; (D) health facilities or programs operated by or in accordance with a contract or grant with the Indian Health Service; and (E) primary care clinics. (5) Develop a plan, as appropriate, for followup with graduates, including with respect to specialties, as applicable. (6) Develop, implement, and evaluate methods to improve recruitment and retention of medical students from Tribal, rural, and medically underserved communities. (7) Train and support instructors to serve Tribal, rural, and medically underserved communities. (8) Prepare medical students for transition into primary care residency training and future practice. (9) Provide scholarships to medical students. (e) Grant period A grant under this section shall be awarded for a period of not more than 5 years. (f) Grant amount Each fiscal year, the amount of a grant made to an eligible entity under this section shall be not less than $1,000,000. (g) Matching requirement The Secretary shall, as appropriate, require that an eligible entity receiving a grant under this section provide non-Federal matching funds, which may be in cash or in kind, in an amount equal to or greater than 10 percent of the total amount of Federal funds provided through the grant each fiscal year. (h) Authorization of appropriations There is authorized to be appropriated to carry out this section $150,000,000 for each of fiscal years 2023 through 2025. .