I 118th CONGRESS 1st Session H. R. 3760 IN THE HOUSE OF REPRESENTATIVES May 31, 2023 Mr. Carter of Louisiana (for himself, Ms. Strickland , Mrs. Beatty , Ms. Williams of Georgia , Mr. Davis of North Carolina , Mrs. Hayes , Mr. Ivey , Mrs. McClellan , Mrs. Foushee , Ms. Lee of California , Ms. Crockett , Ms. Sewell , Mr. Bishop of Georgia , Mr. Meeks , Mr. Cleaver , Ms. Brown , Ms. Lee of Pennsylvania , Mr. Jackson of Illinois , Mr. Johnson of Georgia , Mr. Carson , Ms. Jackson Lee , Mr. Mfume , Mr. Clyburn , Mrs. Watson Coleman , and Ms. Kelly of Illinois ) introduced the following bill; which was referred to the Committee on Energy and Commerce A BILL To amend title VII of the Public Health Service Act to strengthen the mental health workforce, and for other purposes.

1. Strengthening the mental health workforce (a) In general 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. Strengthening the mental health workforce (a) In general The Secretary shall establish and carry out a mental health provider loan deferment and forgiveness program under which the eligible individual agrees to be employed full-time for a period of at least 5 years (beginning on the date on which the individual graduates from medical school) in providing mental and behavioral health care, including substance abuse prevention and treatment services— (1) as a solo practitioner— (A) at least 30 percent of the patients of which are individuals receiving medical assistance under a State plan under title XIX of the Social Security Act (or a waiver of such plan); and (B) at least 50 percent of the patients of which are members of a racial and ethnic minority group (as defined in section 1707); or (2) at an institution that accepts patients described in paragraph (1)(A) and at which at least 50 percent of the patients served by the institution are members of a racial and ethnic minority group (as defined in section 1707). (b) Program administration Through the program established under this section, the Secretary shall enter into contracts with eligible individuals under which— (1) such eligible individuals will agree to provide mental and behavioral health care services as described in subsection (a); (2) the Secretary agrees that periodic installments of the principal of an eligible loan need not be paid, but interest shall accrue and be paid, during any period during which the borrower is employed as described in subsection (a); and (3) the Secretary, through the holder of the loan, will assume the obligation to repay the lesser of 100 percent or $200,000 of the total amount of principal and interest of an eligible loan, that are outstanding as of the day immediately preceding the first day of the first year of service (as described in subsection (a)), for an eligible individual, who— (A) has been employed as described in subsection (a) for 5 consecutive years; and (B) is not in default on a loan for which the individual seeks forgiveness. (c) Definitions In this section: (1) The term eligible individual means an individual who— (A) (i) has been accepted for enrollment, or be enrolled, as a student in a minority-serving institution eligible to receive funding under section 371 of the Higher Education Act of 1965 in a course of study or program leading to a mental or behavioral health professions degree or certificate; or (ii) is completing training hours under clinical supervision for purposes of obtaining such a degree or certificate; and (B) has accepted employment as described in subsection (a), to commence upon graduation. (2) The term eligible loan means— (A) any loan for education or training for mental and behavioral health care, including substance abuse prevention and treatment, employment; (B) any Federal Direct Stafford Loan, Federal Direct PLUS Loan, Federal Direct Unsubsidized Stafford Loan, or Federal Direct Consolidation Loan (as such terms are used in section 455 of the Higher Education Act of 1965); (C) any Federal Perkins Loan under part E of title I of the Higher Education Act of 1965; and (D) any other Federal loan as determined appropriate by the Secretary. .