Sec. 760A. Rural maternal and obstetric care training demonstration
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The Secretary shall establish a training demonstration program to award grants to eligible entities to support— training for physicians, medical residents, including family practice residents, and fellows to practice maternal and obstetric medicine in rural, community-based settings; training for nurse practitioners, physician assistants, nurse midwives, and doulas to provide maternal and obstetric care services in rural community-based settings; and establishing, maintaining, or improving academic units or programs that— provide training for students or faculty, including through clinical experiences and research, to improve maternal and obstetric care in rural areas; or develop evidence-based practices or recommendations for the design of the units or programs described in subparagraph (A), including curriculum content standards.
A recipient of a grant under subsection (a)(1)— shall use the grant funds— to plan, develop, and operate a training program to provide obstetric care in rural areas for family practice or obstetrics residents and fellows; or to train new family practice or obstetrics residents and fellows in maternal and obstetric health care to provide and expand access to maternal and obstetric health care in rural areas; and may use the grant funds to provide additional support for the administration of the program or to meet the costs of projects to establish, maintain, or improve faculty development, or departments, divisions, or other units necessary to implement such training.
A recipient of a grant under subsection (a)(2)— shall use the grant funds to plan, develop, or operate a training program to provide maternal and obstetric health care services in rural, community-based settings; and may use the grant funds to provide additional support for the administration of the program or to meet the costs of projects to establish, maintain, or improve faculty development, or departments, divisions, or other units necessary to implement such program. A recipient of a grant under subsection (a)(3) shall enter into a partnership with organizations such as an education accrediting organization (such as the Liaison Committee on Medical Education, the Accreditation Council for Graduate Medical Education, the Commission on Osteopathic College Accreditation, the Accreditation Commission for Education in Nursing, the Commission on Collegiate Nursing Education, or the Accreditation Review Commission on Education for the Physician Assistant) to carry out activities under subsection (a)(3).
To be eligible to receive a grant under subsection (a)(1), an entity shall— be a consortium consisting of— at least one teaching health center; and the sponsoring institution (or parent institution of the sponsoring institution) of— an obstetric residency program that is accredited by the Accreditation Council of Graduate Medical Education (or the parent institution of such a program); or a fellowship in maternal or obstetric medicine, as determined appropriate by the Secretary; or be an entity described in subparagraph (A)(ii) that provides opportunities for residents or fellows to train in rural community-based settings.
To be eligible to receive a grant under subsection (a)(2), an entity shall be— a teaching health center (as defined in section 749A(f)); a Federally qualified health center (as defined in section 1905(l)(2)(B) of the Social Security Act); a community mental health center (as defined in section 1861(ff)(3)(B) of the Social Security Act); a rural health clinic (as defined in section 1861(aa) of the Social Security Act); a health center operated by the Indian Health Service, an Indian tribe, a tribal organization, or an urban Indian organization (as defined in section 4 of the Indian Health Care Improvement Act); or an entity with a demonstrated record of success in providing training for nurse practitioners, physician assistants, nurse midwives, or doulas.
To be eligible to receive a grant under subsection (a)(3), an entity shall be a school of medicine or osteopathic medicine, a nursing school, a physician assistant training program, an accredited public or nonprofit private hospital, an accredited medical residency program, or a public or private nonprofit entity which the Secretary has determined is capable of carrying out such grant. Grants awarded under this section shall be for a minimum of 5 years. The Secretary, acting through the Administrator of the Health Resources and Services Administration, shall conduct a study on the results of the demonstration program under this section.
Not later than 90 days after the completion of the first year of the training program, and each subsequent year that the program is in effect, each recipient of a grant under subsection
(a)shall submit to the Secretary such data as the Secretary may require for analysis for the report described in paragraph (2). Not later than 1 year after receipt of the data described in paragraph (1)(B), the Secretary shall submit to Congress a report that includes— an analysis of the effect of the demonstration program under this section on the quality, quantity, and distribution of maternal, including prenatal and postnatal, and obstetric care services; an analysis of the effect of the demonstration program on the prevalence of maternal mortality in the surrounding communities of health centers participating in the demonstration; and recommendations on whether the demonstration program should be expanded. There are authorized to be appropriated to carry out this section, $5,000,000 for each of fiscal years 2019 through 2023.