Sec. 204. Expanding the number of primary care doctors
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Section 747 of the Public Health Service Act ( 42 U.S.C. 293k ), as amended by section 202, is further amended— by redesignating subsection
(c)as subsection (d); and by inserting after subsection
(b)the following: The Secretary shall award grants to eligible medical schools described in paragraph
(2)for the purpose of graduating more physicians who will practice a primary care discipline. Funds awarded under this subsection may be used for costs associated with faculty, construction and capital improvements, clinical support, research support, student supports, and any other costs, as determined by the Secretary. To be eligible to receive a grant under this subsection, a medical school shall— be a nonprofit school of medicine or osteopathic medicine that is accredited by a nationally recognized accrediting agency or association; and demonstrate in the grant application of the medical school— that not less than 33 percent of graduates from the medical school enter primary care and are, as of the date of the application, practicing primary care, as calculated by dividing— the number of physicians who graduated during such time period as is specified by the Secretary who are practicing primary care; by the total number of physicians who graduated during such time period; and a plan to expand the number of graduates of the medical school who are practicing primary care; and a commitment to use grant funds to supplement, not supplant, such school’s investment in primary care medical education. Of the amounts appropriated under paragraph (6)(C), the Secretary shall awards not less than 20 percent to eligible medical schools described in paragraph
(2)that are historically Black colleges and universities (as defined by the term part B institution in section 322 of the Higher Education Act of 1965 ( 20 U.S.C. 1061 ) or described in section 326(e)(1) of such Act ( 20 U.S.C. 1063b(e)(1) )) or other minority-serving institutions (as described in section 371(a) of the Higher Education Act of 1965 ( 20 U.S.C. 1067q(a) )). The Secretary shall determine the amount of each grant awarded under this subsection, which shall be based on the scope of the plan submitted by the medical school under paragraph (2)(B)(ii), and other appropriate factors. In awarding grants under this subsection, the Secretary shall ensure, to the greatest extent practicable, that such grants are equitably distributed among the geographic regions of the United States. In this subsection, the term primary care means health care services related to family medicine, internal medicine, pediatrics, obstetrics, gynecology, geriatrics, or psychiatry. There is established in the Treasury an account, to be known as the Account to Address the Primary Care Physician Shortage (referred to in this subsection as the Account ), for purposes of carrying out this subsection. The Secretary of the Treasury shall transfer, from the general fund of the Treasury, to the Account $300,000,000 for fiscal year 2024. Any amounts transferred under clause
(i)shall remain unavailable in the Account until such amounts are appropriated pursuant to subparagraph (C). For the period of fiscal years 2024 through 2026, there is authorized to be appropriated from the Account to the Secretary, for the purpose of carrying out the activities under this subsection, an amount not to exceed the total amount transferred to the Account under subparagraph (B)(i). For fiscal years 2024 through 2026, for any discretionary appropriation under the heading Account to Address the Primary Care Physician Shortage provided to the Secretary pursuant to the authorization of appropriations under clause
(i)for the purpose of carrying out this subsection, the total amount of such appropriations for the applicable fiscal year (not to exceed the total amount remaining in the Account) shall be subtracted from the estimate of discretionary budget authority and the resulting outlays for any estimate under the Congressional Budget and Impoundment Control Act of 1974 or the Balanced Budget and Emergency Deficit Control Act of 1985, and the amount transferred to the Account shall be reduced by the same amount. Not later than October 1 of fiscal years 2025 through 2027, the Secretary shall submit to the Committee on Health, Education, Labor, and Pensions and the Committee on Appropriations of the Senate and the Committee on Energy and Commerce and the Committee on Appropriations of the House of Representatives, a report including a description of any use of funds provided pursuant to the authorization of appropriations under paragraph (6)(C). Notwithstanding any transfer authority authorized by this subsection or any appropriations Act, any funds made available pursuant to the authorization of appropriations under paragraph (6)(C) may not be used for any purpose other than the program established under paragraph (1). Amounts remaining unappropriated in the Account under this subsection shall be transferred back to the general fund of the Treasury on October 1, 2026. .
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Sec. 204
Expanding the number of primary care doctors
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