Sec. 701. Role of Board; establishment of primary care professional output goals
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/bill/114/hr/1200/ih/section-701A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
The Board is responsible for— coordinating health professional education policies and goals, in consultation with the Secretary of Health and Human Services (in this title referred to as the Secretary ), to achieve the national goals specified in subsection (b); overseeing the health professional education expenditures of the State health security programs from the account established under section 602(c); developing and maintaining, in cooperation with the Secretary, a system to monitor the number and specialties of individuals through their health professional education, any postgraduate training, and professional practice; and developing, coordinating, and promoting other policies that expand the number of primary care practitioners.
The national goals specified in this subsection are as follows: By not later than 5 years after the date of the enactment of this Act, at least 50 percent of the residents in medical residency education programs (as defined in subsection (e)(1)) are primary care residents (as defined in subsection (e)(3)). To ensure an adequate supply of primary care practitioners, there shall be a number, specified by the Board, of midlevel primary care practitioners (as defined in subsection (e)(2)) employed in the health care system as of January 1, 2019.
To ensure an adequate supply of dental care practitioners, there shall be a number, specified by the Board, of dentists (as defined in subsection (e)(1)) employed in the health care system as of January 1, 2019. The Board shall establish a method of applying the national goal in subsection (b)(1) to program goals for each medical residency education program or to medical residency education consortia. The program goals under paragraph
(1)shall be based on the distribution of medical schools and other teaching facilities within each State health security program, and the number of positions for graduate medical education. In this subsection, the term medical residency education consortium means a consortium of medical residency education programs in a contiguous geographic area (which may be an interstate area) if the consortium— includes at least 1 medical school with a teaching hospital and related teaching settings; and has an affiliation with qualified community-based primary health service providers described in section 202(a) and with at least 1 comprehensive health service organization established under section 303. The Board shall develop a formula for reducing payments to State health security programs (that provide for payments to a medical residency education program) that failed to meet the goal for the program established under this subsection. To assist in attaining the national goal identified in subsection (b)(2), the Board shall— advise the Public Health Service on allocations of funding under titles VII and VIII of the Public Health Service Act , the National Health Service Corps, and other programs in order to increase the supply of midlevel primary care practitioners; and commission a study of the potential benefits and disadvantages of expanding the scope of practice authorized under State laws for any class of midlevel primary care practitioners. In this title: The term dentist means a practitioner who performs the evaluation, diagnosis, prevention or treatment (nonsurgical, surgical, or related procedures) of diseases, disorders or conditions of the oral cavity, maxillofacial area or the adjacent and associated structures and their impact on the human body, within the scope of his or her education, training and experience, in accordance with the ethics of the profession and applicable law. The term medical residency education program means a program that provides education and training to graduates of medical schools in order to meet requirements for licensing and certification as a physician, and includes the medical school supervising the program and includes the hospital or other facility in which the program is operated. The term midlevel primary care practitioner means a clinical nurse practitioner, certified nurse midwife, physician assistance, or other nonphysician practitioner, specified by the Board, as authorized to practice under State law. The term primary care resident means (in accordance with criteria established by the Board) a resident being trained in a distinct program of family practice medicine, general practice, general internal medicine, or general pediatrics.