Sec. 7. Primary care project
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The Secretary of Health and Human Services (referred to in this section as the Secretary ) shall establish a pilot program to provide funding for graduate medical residency training programs in primary care. An entity shall be eligible to participate in the project under this section if such entity— is— a community-based corporate entity collaborating with 1 or more hospitals to operate a primary care residency program; a medical education entity established by 1 or more hospitals to operate a primary care residency program; a hospital subsidiary or independent corporation operating a primary care residency program; a medical education entity, independent of a hospital, collaborating with a primary care residency program; or another type of entity as determined appropriate by the Secretary; and submits an application at such time, in such manner, and containing such information as the Secretary may require.
The Secretary shall select, from the eligible entities under paragraph (1), 4 entities to participate in the project. Not less than 1 selected entity shall be an entity that is not a hospital. In carrying out the project, the Secretary shall— structure the funding of the project such that payments are made directly to the entity participating in the project; support primary care training in all sites where care is delivered, including non-hospital settings such as Federally qualified health centers (as defined in section 1861(aa) of the Social Security Act ( 42 U.S.C. 1395x(aa) )); increase funding for the primary care residency programs of the participating entities such that those primary care residency programs are funded at the 90th percentile of all residency programs nationally and are funded at levels that equal at least $100,000 per resident involved; and ensure that entities participating in the project use the funding under the project to provide infrastructure support and recruitment and retention support for faculty and residents of the primary care residency program, including loan repayment for such residents; require training in rural and medically underserved areas, and with medically underserved populations (as defined in section 330(b) of the Public Health Service Act (42 U.S.C. 254b(b))) and service in such areas for a minimum of two rotations of not less than four weeks each year; and permit the primary care residency program of the participating entities to qualify for payment under section 1886(d)(5)(B)(xii) of the Social Security Act (as added by section 4) if such entities receive an appropriate score (as determined by the Secretary) on the measures specified by the Secretary under such section.
The Secretary shall carry out the project under this section for a term of at least 6 years. Not later than 1 year after the commencement of the project, and each year thereafter, the Secretary shall conduct an of evaluation the project. The Secretary shall conduct the evaluation under paragraph
(1)using the following criteria: The percentage of graduates from the primary care residency programs of the participating entities that are practicing primary care 2 years after graduation, and longer. The percentage of graduates from the primary care residency programs of the participating entities that are practicing in a health professional shortage area (as defined in section 332 of the Public Health Service Act ( 42 U.S.C. 254e )) 2 years after graduation, and longer. Other criteria as determined appropriate by the Secretary. There are authorized to be appropriated to carry out this section $3,600,000 for each of fiscal years 2015 through 2019.
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