Sec. 301. Extension for community health centers, the national health service corps, and teaching health centers that operate GME programs

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(2)of section 340H(b) of the Public Health Service Act ( 42 U.S.C. 256h(b) ) is amended by adding at the end the following: Notwithstanding any provision of this section, for each of fiscal years 2024 and 2025, the Secretary may use any amounts made available in any fiscal year to carry out this section (including amounts recouped under subsection (f)) to make payments described in paragraphs (1)(A) and (1)(B), in addition to the total amount of funds appropriated under subsection (g). . Section 340H(f) of the Public Health Service Act ( 42 U.S.C. 256h(f) ) is amended— by striking The Secretary shall determine and inserting the following: The Secretary shall determine ; and by adding at the end the following: For each fiscal year, the Secretary shall submit to the Committee on Energy and Commerce of the House of Representatives and the Committee on Health, Education, Labor, and Pensions of the Senate a report specifying— the total amount of funds recouped under paragraph (1); the rationale for the funds being recouped; and in the case of the reports for each of fiscal years 2024 and 2025, the total amount of funds recouped under paragraph

(1)that were used pursuant to subsection (b)(2)(C) to adjust total payment amounts above the total amounts appropriated under subsection (g). . Section 340H(g) of the Public Health Service Act ( 42 U.S.C. 256h(g) ) is amended— by amending paragraph

(1)to read as follows: To carry out this section, there are appropriated such sums as may be necessary, not to exceed— $230,000,000, for the period of fiscal years 2011 through 2015; $60,000,000 for each of fiscal years 2016 and 2017; $126,500,000 for each of fiscal years 2018 through 2023; $16,635,616 for the period beginning on October 1, 2023, and ending on November 17, 2023; $21,834,247 for the period beginning on November 18, 2023, and ending on January 19, 2024; $136,530,137 for the period beginning on January 20, 2024, and ending on September 30, 2024; $175,000,000 for fiscal year 2025; $225,000,000 for each of fiscal years 2026 and 2027; and $300,000,000 for each of fiscal years 2028, 2029, and 2030. ; and by adding at the end the following: The amounts made available under paragraph

(1)shall remain available until expended. . Section 10503(b)(1)(F) of the Patient Protection and Affordable Care Act ( 42 U.S.C. 254b–2(b)(1)(F) ) is amended— by striking and before $690,410,959 ; and by inserting , $3,183,561,644 for the period beginning on January 20, 2024, and ending on September 30, 2024, $4,400,000,000 for fiscal year 2025, and $1,109,000,000 for the period beginning October 1, 2025, and ending December 31, 2025 before the semicolon at the end. Section 10503(b)(2) of the Patient Protection and Affordable Care Act ( 42 U.S.C. 254b–2(b)(2) ) is amended— in subparagraph (H), by striking and at the end; in subparagraph (I), by striking the period at the end and inserting ; and ; and by adding at the end the following: $255,726,028 for the period beginning on January 20, 2024, and ending on September 30, 2024, $350,000,000 for fiscal year 2025, and $88,219,178 for the period beginning October 1, 2025, and ending December 31, 2025. . Not later than one year after the date of enactment of this Act, the Comptroller General of the United States shall submit to the Committee on Energy and Commerce of the House of Representatives and the Committee on Health, Education, Labor, and Pensions of the Senate a report assessing the effectiveness of the National Health Service Corps at attracting health care professionals to HPSAs, including by— assessing the metrics used by the Health Resources and Services Administration in evaluating the program; comparing the retention rates of NHSC participants in the HPSAs where they completed their period of obligated service to the retention rate of non-NHSC participants in the corresponding HPSAs; comparing the retention rates of NHSC participants in the HPSAs where they completed their period of obligated service to the retention rates of NHSC participants in HPSAs other than those where they completed their period of obligated service; identifying factors that influence a NHSC participant’s decision to practice in a HPSA other than the HPSA where they completed their period of obligated service; identifying factors other than participation in the National Health Service Corps Scholarship and Loan Repayment Programs that attract health care professionals to a HPSA; assessing the impact the National Health Service Corps has on wages for health care professionals in a HPSA; and comparing the distribution of NHSC participants across HPSAs, including a comparison of rural versus non-rural HPSAs. In this section: The term HPSA means a health professional shortage area designated under section 332 of the Public Health Service Act ( 42 U.S.C. 254e ). The term NHSC participant means a National Health Service Corps member participating in the National Health Service Corps Scholarship or Loan Repayment Program. Amounts appropriated pursuant to the amendments made by this section shall be subject to the requirements contained in Public Law 117–328 for funds for programs authorized under sections 330 through 340 of the Public Health Service Act. Paragraph

(4)of section 3014(h) of title 18, United States Code, is amended by striking and section 2321(d) of the Continuing Appropriations Act, 2024 and Other Extensions Act and inserting section 2321(d) of the Continuing Appropriations Act, 2024 and Other Extensions Act, and section 301(e) of the . Lower Costs, More Transparency Act

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