| 1 | 1 | | I |
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| 2 | 2 | | 119THCONGRESS |
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| 3 | 3 | | 1 |
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| 4 | 4 | | STSESSION H. R. 2106 |
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| 5 | 5 | | To establish a grant program to support schools of medicine and schools |
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| 6 | 6 | | of osteopathic medicine in underserved areas. |
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| 7 | 7 | | IN THE HOUSE OF REPRESENTATIVES |
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| 8 | 8 | | MARCH14, 2025 |
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| 9 | 9 | | Mr. C |
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| 10 | 10 | | OSTA(for himself and Mr. GRAY) introduced the following bill; which |
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| 11 | 11 | | was referred to the Committee on Energy and Commerce |
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| 12 | 12 | | A BILL |
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| 13 | 13 | | To establish a grant program to support schools of medicine |
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| 14 | 14 | | and schools of osteopathic medicine in underserved areas. |
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| 15 | 15 | | Be it enacted by the Senate and House of Representa-1 |
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| 16 | 16 | | tives of the United States of America in Congress assembled, 2 |
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| 17 | 17 | | SECTION 1. SHORT TITLE. 3 |
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| 18 | 18 | | This Act may be cited as the ‘‘Expanding Medical 4 |
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| 19 | 19 | | Education Act’’. 5 |
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| 23 | 23 | | SEC. 2. GRANTS FOR SCHOOLS OF MEDICINE AND SCHOOLS 1 |
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| 24 | 24 | | OF OSTEOPATHIC MEDICINE IN UNDER-2 |
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| 25 | 25 | | SERVED AREAS. 3 |
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| 26 | 26 | | Subpart II of part C of title VII of the Public Health 4 |
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| 27 | 27 | | Service Act (42 U.S.C. 293m et seq.) is amended by add-5 |
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| 28 | 28 | | ing at the end the following: 6 |
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| 29 | 29 | | ‘‘SEC. 749C. GRANTS FOR SCHOOLS OF MEDICINE AND 7 |
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| 30 | 30 | | SCHOOLS OF OSTEOPATHIC MEDICINE IN UN-8 |
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| 31 | 31 | | DERSERVED AREAS. 9 |
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| 32 | 32 | | ‘‘(a) I |
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| 33 | 33 | | NGENERAL.—The Secretary may award grants 10 |
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| 34 | 34 | | to institutions of higher education (including consortiums 11 |
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| 35 | 35 | | of such institutions) for the establishment, improvement, 12 |
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| 36 | 36 | | or expansion of a school of medicine or osteopathic medi-13 |
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| 37 | 37 | | cine, or a branch campus of a school of medicine or osteo-14 |
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| 38 | 38 | | pathic medicine. 15 |
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| 39 | 39 | | ‘‘(b) P |
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| 40 | 40 | | RIORITY.—In selecting grant recipients under 16 |
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| 41 | 41 | | this section, the Secretary shall give priority to any insti-17 |
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| 42 | 42 | | tution of higher education (or consortium of such institu-18 |
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| 43 | 43 | | tions) that— 19 |
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| 44 | 44 | | ‘‘(1) proposes to use the grant for the establish-20 |
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| 45 | 45 | | ment of a school of medicine or osteopathic medi-21 |
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| 46 | 46 | | cine, or a branch campus of a school of medicine or 22 |
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| 47 | 47 | | osteopathic medicine, in an area— 23 |
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| 48 | 48 | | ‘‘(A) in which— 24 |
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| 49 | 49 | | ‘‘(i) no other such school is based; or 25 |
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| 53 | 53 | | ‘‘(ii) in the case in which the school of 1 |
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| 54 | 54 | | medicine or osteopathic medicine proposed 2 |
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| 55 | 55 | | to be established would be a minority-serv-3 |
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| 56 | 56 | | ing institution, no other minority-serving 4 |
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| 57 | 57 | | institution that includes a school of medi-5 |
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| 58 | 58 | | cine or osteopathic medicine is based; and 6 |
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| 59 | 59 | | ‘‘(B) that is a medically underserved com-7 |
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| 60 | 60 | | munity or a health professional shortage area; 8 |
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| 61 | 61 | | or 9 |
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| 62 | 62 | | ‘‘(2) is a minority-serving institution described 10 |
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| 63 | 63 | | in section 371(a) of the Higher Education Act of 11 |
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| 64 | 64 | | 1965 or an institution or program described in sec-12 |
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| 65 | 65 | | tion 326(e) of such Act. 13 |
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| 66 | 66 | | ‘‘(c) C |
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| 67 | 67 | | ONSIDERATIONS.—In awarding grants under 14 |
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| 68 | 68 | | this section, the Secretary, to the extent practicable, may 15 |
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| 69 | 69 | | ensure equitable distribution of awards among the geo-16 |
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| 70 | 70 | | graphical regions of the United States. 17 |
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| 71 | 71 | | ‘‘(d) U |
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| 72 | 72 | | SE OFFUNDS.—An institution of higher edu-18 |
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| 73 | 73 | | cation (or a consortium of such institutions)— 19 |
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| 74 | 74 | | ‘‘(1) shall use grant amounts received under 20 |
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| 75 | 75 | | this section to— 21 |
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| 76 | 76 | | ‘‘(A) recruit, enroll, and retain medical 22 |
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| 77 | 77 | | students who are pursuing a degree of doctor of 23 |
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| 78 | 78 | | medicine or doctor of osteopathy, including in-24 |
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| 79 | 79 | | dividuals who are from disadvantaged back-25 |
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| 83 | 83 | | grounds (including racial and ethnic groups 1 |
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| 84 | 84 | | underrepresented among medical students and 2 |
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| 85 | 85 | | health professions), individuals from rural and 3 |
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| 86 | 86 | | underserved areas, low-income individuals, and 4 |
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| 87 | 87 | | first generation college students, at a school of 5 |
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| 88 | 88 | | medicine or osteopathic medicine or branch 6 |
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| 89 | 89 | | campus of a school of medicine or osteopathic 7 |
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| 90 | 90 | | medicine; and 8 |
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| 91 | 91 | | ‘‘(B) develop, implement, and expand cur-9 |
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| 92 | 92 | | riculum that emphasizes care for rural and un-10 |
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| 93 | 93 | | derserved populations, including accessible and 11 |
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| 94 | 94 | | culturally and linguistically appropriate care 12 |
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| 95 | 95 | | and services, at such school or branch campus; 13 |
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| 96 | 96 | | and 14 |
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| 97 | 97 | | ‘‘(2) may use grant amounts received under this 15 |
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| 98 | 98 | | section to— 16 |
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| 99 | 99 | | ‘‘(A) plan and construct— 17 |
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| 100 | 100 | | ‘‘(i) a school of medicine or osteo-18 |
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| 101 | 101 | | pathic medicine, or a branch campus of a 19 |
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| 102 | 102 | | school of medicine or osteopathic medicine, 20 |
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| 103 | 103 | | in an area in which no other such school 21 |
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| 104 | 104 | | is based; or 22 |
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| 105 | 105 | | ‘‘(ii) a school of medicine or osteo-23 |
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| 106 | 106 | | pathic medicine, or a branch campus of a 24 |
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| 107 | 107 | | school of medicine or osteopathic medicine, 25 |
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| 111 | 111 | | that will be a minority-serving institution, 1 |
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| 112 | 112 | | in an area in which no other such school 2 |
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| 113 | 113 | | that is a minority-serving institution is 3 |
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| 114 | 114 | | based; 4 |
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| 115 | 115 | | ‘‘(B) plan, develop, and meet criteria for 5 |
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| 116 | 116 | | accreditation for a school of medicine or osteo-6 |
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| 117 | 117 | | pathic medicine or branch campus of a school 7 |
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| 118 | 118 | | of medicine or osteopathic medicine; 8 |
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| 119 | 119 | | ‘‘(C) hire faculty, including faculty from 9 |
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| 120 | 120 | | racial and ethnic groups who are underrep-10 |
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| 121 | 121 | | resented among the medical and other health 11 |
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| 122 | 122 | | professions, and other staff to serve at such a 12 |
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| 123 | 123 | | school or branch campus; 13 |
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| 124 | 124 | | ‘‘(D) support educational programs at such 14 |
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| 125 | 125 | | a school or branch campus; 15 |
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| 126 | 126 | | ‘‘(E) modernize and expand infrastructure 16 |
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| 127 | 127 | | at such a school or branch campus; and 17 |
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| 128 | 128 | | ‘‘(F) support other activities that the Sec-18 |
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| 129 | 129 | | retary determines further the establishment, 19 |
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| 130 | 130 | | improvement, or expansion of a school of medi-20 |
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| 131 | 131 | | cine or osteopathic medicine or branch campus 21 |
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| 132 | 132 | | of a school of medicine or osteopathic medicine. 22 |
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| 133 | 133 | | ‘‘(e) A |
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| 134 | 134 | | PPLICATION.—To be eligible to receive a grant 23 |
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| 135 | 135 | | under subsection (a), an institution of higher education 24 |
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| 136 | 136 | | (or a consortium of such institutions), shall submit an ap-25 |
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| 140 | 140 | | plication to the Secretary at such time, in such manner, 1 |
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| 141 | 141 | | and containing such information as the Secretary may re-2 |
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| 142 | 142 | | quire, including a description of the institution’s or con-3 |
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| 143 | 143 | | sortium’s planned activities described in subsection (d). 4 |
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| 144 | 144 | | ‘‘(f) R |
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| 145 | 145 | | EPORTING.— 5 |
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| 146 | 146 | | ‘‘(1) R |
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| 147 | 147 | | EPORTS FROM ENTITIES .—Each institu-6 |
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| 148 | 148 | | tion of higher education, or consortium of such insti-7 |
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| 149 | 149 | | tutions, awarded a grant under this section shall 8 |
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| 150 | 150 | | submit an annual report to the Secretary on the ac-9 |
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| 151 | 151 | | tivities conducted under such grant, and other infor-10 |
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| 152 | 152 | | mation as the Secretary may require. 11 |
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| 153 | 153 | | ‘‘(2) R |
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| 154 | 154 | | EPORT TO CONGRESS .—Not later than 5 12 |
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| 155 | 155 | | years after the date of enactment of this section and 13 |
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| 156 | 156 | | every 5 years thereafter, the Secretary shall submit 14 |
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| 157 | 157 | | to the Committee on Health, Education, Labor, and 15 |
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| 158 | 158 | | Pensions of the Senate and the Committee on En-16 |
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| 159 | 159 | | ergy and Commerce of the House of Representatives 17 |
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| 160 | 160 | | a report that provides a summary of the activities 18 |
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| 161 | 161 | | and outcomes associated with grants made under 19 |
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| 162 | 162 | | this section. Such reports shall include— 20 |
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| 163 | 163 | | ‘‘(A) a list of awardees, including their pri-21 |
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| 164 | 164 | | mary geographic location, and location of any 22 |
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| 165 | 165 | | school of medicine or osteopathic medicine, or a 23 |
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| 166 | 166 | | branch campus of school of medicine or osteo-24 |
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| 167 | 167 | | pathic medicine that was established, improved, 25 |
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| 171 | 171 | | or expanded under the program under this sec-1 |
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| 172 | 172 | | tion; 2 |
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| 173 | 173 | | ‘‘(B) the total number of students (includ-3 |
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| 174 | 174 | | ing the number of students from racial and eth-4 |
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| 175 | 175 | | nic groups underrepresented among medical 5 |
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| 176 | 176 | | students and health professions, low-income 6 |
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| 177 | 177 | | students, and first generation college students) 7 |
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| 178 | 178 | | who— 8 |
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| 179 | 179 | | ‘‘(i) are enrolled at, or who have grad-9 |
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| 180 | 180 | | uated from, any school of medicine or os-10 |
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| 181 | 181 | | teopathic medicine, or a branch campus of 11 |
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| 182 | 182 | | school of medicine or osteopathic medicine, 12 |
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| 183 | 183 | | that was established, improved, or ex-13 |
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| 184 | 184 | | panded under the program under this sec-14 |
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| 185 | 185 | | tion, deidentified and disaggregated by 15 |
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| 186 | 186 | | race, ethnicity, age, sex, geographic region, 16 |
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| 187 | 187 | | disability status, and other relevant fac-17 |
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| 188 | 188 | | tors, to the extent such information is 18 |
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| 189 | 189 | | available; and 19 |
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| 190 | 190 | | ‘‘(ii) who subsequently participate in 20 |
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| 191 | 191 | | an accredited internship or medical resi-21 |
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| 192 | 192 | | dency program upon graduation from any 22 |
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| 193 | 193 | | school of medicine or osteopathic medicine, 23 |
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| 194 | 194 | | or a branch campus of a school of medicine 24 |
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| 195 | 195 | | or osteopathic medicine, that was estab-25 |
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| 199 | 199 | | lished, improved, or expanded under the 1 |
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| 200 | 200 | | program under this section, deidentified 2 |
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| 201 | 201 | | and disaggregated by race, ethnicity, age, 3 |
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| 202 | 202 | | sex, geographic region, disability status, 4 |
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| 203 | 203 | | medical specialty pursued, and other rel-5 |
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| 204 | 204 | | evant factors, to the extent such informa-6 |
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| 205 | 205 | | tion is available; 7 |
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| 206 | 206 | | ‘‘(C) the effects of such program on the 8 |
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| 207 | 207 | | health care provider workforce, including any 9 |
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| 208 | 208 | | impact on demographic representation 10 |
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| 209 | 209 | | disaggregated by race, ethnicity, and sex, and 11 |
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| 210 | 210 | | the fields or specialties pursued by students 12 |
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| 211 | 211 | | who have graduated from any school of medi-13 |
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| 212 | 212 | | cine or osteopathic medicine, or a branch cam-14 |
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| 213 | 213 | | pus of school of medicine or osteopathic medi-15 |
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| 214 | 214 | | cine, that was established, improved, or ex-16 |
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| 215 | 215 | | panded under the program under this section; 17 |
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| 216 | 216 | | ‘‘(D) the effects of such program on health 18 |
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| 217 | 217 | | care access in underserved areas, including 19 |
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| 218 | 218 | | medically underserved communities and health 20 |
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| 219 | 219 | | professional shortage areas; and 21 |
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| 220 | 220 | | ‘‘(E) recommendations for improving the 22 |
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| 221 | 221 | | program described in this section, and any 23 |
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| 222 | 222 | | other considerations as the Secretary deter-24 |
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| 223 | 223 | | mines appropriate. 25 |
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| 227 | 227 | | ‘‘(3) PUBLIC AVAILABILITY.—The Secretary 1 |
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| 228 | 228 | | shall make reports submitted under paragraph (2) 2 |
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| 229 | 229 | | publicly available on the website of the Department 3 |
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| 230 | 230 | | of Health and Human Services. 4 |
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| 231 | 231 | | ‘‘(g) D |
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| 232 | 232 | | EFINITIONS.—In this section: 5 |
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| 233 | 233 | | ‘‘(1) B |
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| 234 | 234 | | RANCH CAMPUS.— 6 |
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| 235 | 235 | | ‘‘(A) I |
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| 236 | 236 | | N GENERAL.—The term ‘branch 7 |
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| 237 | 237 | | campus’, with respect to a school of medicine or 8 |
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| 238 | 238 | | osteopathic medicine, means an additional loca-9 |
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| 239 | 239 | | tion of such school that is geographically apart 10 |
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| 240 | 240 | | and independent of the main campus, at which 11 |
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| 241 | 241 | | the school offers at least 50 percent of the pro-12 |
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| 242 | 242 | | gram leading to a degree of doctor of medicine 13 |
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| 243 | 243 | | or doctor of osteopathy that is offered at the 14 |
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| 244 | 244 | | main campus. 15 |
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| 245 | 245 | | ‘‘(B) I |
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| 246 | 246 | | NDEPENDENCE FROM MAIN CAM -16 |
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| 247 | 247 | | PUS.—For purposes of subparagraph (A), the 17 |
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| 248 | 248 | | location of a school described in such subpara-18 |
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| 249 | 249 | | graph shall be considered to be independent of 19 |
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| 250 | 250 | | the main campus described in such subpara-20 |
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| 251 | 251 | | graph if the location— 21 |
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| 252 | 252 | | ‘‘(i) is permanent in nature; 22 |
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| 253 | 253 | | ‘‘(ii) offers courses in educational pro-23 |
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| 254 | 254 | | grams leading to a degree, certificate, or 24 |
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| 255 | 255 | | other recognized educational credential; 25 |
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| 259 | 259 | | ‘‘(iii) has its own faculty and adminis-1 |
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| 260 | 260 | | trative or supervisory organization; and 2 |
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| 261 | 261 | | ‘‘(iv) has its own budgetary and hiring 3 |
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| 262 | 262 | | authority. 4 |
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| 263 | 263 | | ‘‘(2) F |
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| 264 | 264 | | IRST GENERATION COLLEGE STUDENT .— 5 |
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| 265 | 265 | | The term ‘first generation college student’ has the 6 |
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| 266 | 266 | | meaning given such term in section 402A(h)(3) of 7 |
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| 267 | 267 | | the Higher Education Act of 1965. 8 |
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| 268 | 268 | | ‘‘(3) H |
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| 269 | 269 | | EALTH PROFESSIONAL SHORTAGE 9 |
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| 270 | 270 | | AREA.—The term ‘health professional shortage area’ 10 |
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| 271 | 271 | | has the meaning given such term in section 332(a). 11 |
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| 272 | 272 | | ‘‘(4) I |
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| 273 | 273 | | NSTITUTION OF HIGHER EDUCATION .— 12 |
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| 274 | 274 | | The term ‘institution of higher education’ has the 13 |
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| 275 | 275 | | meaning given such term in section 101 of the High-14 |
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| 276 | 276 | | er Education Act of 1965. 15 |
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| 277 | 277 | | ‘‘(5) M |
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| 278 | 278 | | EDICALLY UNDERSERVED COMMUNITY .— 16 |
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| 279 | 279 | | The term ‘medically underserved community’ has the 17 |
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| 280 | 280 | | meaning given such term in section 799B(6). 18 |
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| 281 | 281 | | ‘‘(h) A |
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| 282 | 282 | | UTHORIZATION OF APPROPRIATIONS.—There 19 |
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| 283 | 283 | | is authorized to be appropriated such sums as may be nec-20 |
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| 284 | 284 | | essary to carry out this section.’’. 21 |
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| 285 | 285 | | Æ |
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