I
119THCONGRESS
1
STSESSION H. R. 2106
To establish a grant program to support schools of medicine and schools
of osteopathic medicine in underserved areas.
IN THE HOUSE OF REPRESENTATIVES
MARCH14, 2025
Mr. C
OSTA(for himself and Mr. GRAY) introduced the following bill; which
was referred to the Committee on Energy and Commerce
A BILL
To establish a grant program to support schools of medicine
and schools of osteopathic medicine in underserved areas.
Be it enacted by the Senate and House of Representa-1
tives of the United States of America in Congress assembled, 2
SECTION 1. SHORT TITLE. 3
This Act may be cited as the ‘‘Expanding Medical 4
Education Act’’. 5
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SEC. 2. GRANTS FOR SCHOOLS OF MEDICINE AND SCHOOLS 1
OF OSTEOPATHIC MEDICINE IN UNDER-2
SERVED AREAS. 3
Subpart II of part C of title VII of the Public Health 4
Service Act (42 U.S.C. 293m et seq.) is amended by add-5
ing at the end the following: 6
‘‘SEC. 749C. GRANTS FOR SCHOOLS OF MEDICINE AND 7
SCHOOLS OF OSTEOPATHIC MEDICINE IN UN-8
DERSERVED AREAS. 9
‘‘(a) I
NGENERAL.—The Secretary may award grants 10
to institutions of higher education (including consortiums 11
of such institutions) for the establishment, improvement, 12
or expansion of a school of medicine or osteopathic medi-13
cine, or a branch campus of a school of medicine or osteo-14
pathic medicine. 15
‘‘(b) P
RIORITY.—In selecting grant recipients under 16
this section, the Secretary shall give priority to any insti-17
tution of higher education (or consortium of such institu-18
tions) that— 19
‘‘(1) proposes to use the grant for the establish-20
ment of a school of medicine or osteopathic medi-21
cine, or a branch campus of a school of medicine or 22
osteopathic medicine, in an area— 23
‘‘(A) in which— 24
‘‘(i) no other such school is based; or 25
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‘‘(ii) in the case in which the school of 1
medicine or osteopathic medicine proposed 2
to be established would be a minority-serv-3
ing institution, no other minority-serving 4
institution that includes a school of medi-5
cine or osteopathic medicine is based; and 6
‘‘(B) that is a medically underserved com-7
munity or a health professional shortage area; 8
or 9
‘‘(2) is a minority-serving institution described 10
in section 371(a) of the Higher Education Act of 11
1965 or an institution or program described in sec-12
tion 326(e) of such Act. 13
‘‘(c) C
ONSIDERATIONS.—In awarding grants under 14
this section, the Secretary, to the extent practicable, may 15
ensure equitable distribution of awards among the geo-16
graphical regions of the United States. 17
‘‘(d) U
SE OFFUNDS.—An institution of higher edu-18
cation (or a consortium of such institutions)— 19
‘‘(1) shall use grant amounts received under 20
this section to— 21
‘‘(A) recruit, enroll, and retain medical 22
students who are pursuing a degree of doctor of 23
medicine or doctor of osteopathy, including in-24
dividuals who are from disadvantaged back-25
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grounds (including racial and ethnic groups 1
underrepresented among medical students and 2
health professions), individuals from rural and 3
underserved areas, low-income individuals, and 4
first generation college students, at a school of 5
medicine or osteopathic medicine or branch 6
campus of a school of medicine or osteopathic 7
medicine; and 8
‘‘(B) develop, implement, and expand cur-9
riculum that emphasizes care for rural and un-10
derserved populations, including accessible and 11
culturally and linguistically appropriate care 12
and services, at such school or branch campus; 13
and 14
‘‘(2) may use grant amounts received under this 15
section to— 16
‘‘(A) plan and construct— 17
‘‘(i) a school of medicine or osteo-18
pathic medicine, or a branch campus of a 19
school of medicine or osteopathic medicine, 20
in an area in which no other such school 21
is based; or 22
‘‘(ii) a school of medicine or osteo-23
pathic medicine, or a branch campus of a 24
school of medicine or osteopathic medicine, 25
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that will be a minority-serving institution, 1
in an area in which no other such school 2
that is a minority-serving institution is 3
based; 4
‘‘(B) plan, develop, and meet criteria for 5
accreditation for a school of medicine or osteo-6
pathic medicine or branch campus of a school 7
of medicine or osteopathic medicine; 8
‘‘(C) hire faculty, including faculty from 9
racial and ethnic groups who are underrep-10
resented among the medical and other health 11
professions, and other staff to serve at such a 12
school or branch campus; 13
‘‘(D) support educational programs at such 14
a school or branch campus; 15
‘‘(E) modernize and expand infrastructure 16
at such a school or branch campus; and 17
‘‘(F) support other activities that the Sec-18
retary determines further the establishment, 19
improvement, or expansion of a school of medi-20
cine or osteopathic medicine or branch campus 21
of a school of medicine or osteopathic medicine. 22
‘‘(e) A
PPLICATION.—To be eligible to receive a grant 23
under subsection (a), an institution of higher education 24
(or a consortium of such institutions), shall submit an ap-25
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plication to the Secretary at such time, in such manner, 1
and containing such information as the Secretary may re-2
quire, including a description of the institution’s or con-3
sortium’s planned activities described in subsection (d). 4
‘‘(f) R
EPORTING.— 5
‘‘(1) R
EPORTS FROM ENTITIES .—Each institu-6
tion of higher education, or consortium of such insti-7
tutions, awarded a grant under this section shall 8
submit an annual report to the Secretary on the ac-9
tivities conducted under such grant, and other infor-10
mation as the Secretary may require. 11
‘‘(2) R
EPORT TO CONGRESS .—Not later than 5 12
years after the date of enactment of this section and 13
every 5 years thereafter, the Secretary shall submit 14
to the Committee on Health, Education, Labor, and 15
Pensions of the Senate and the Committee on En-16
ergy and Commerce of the House of Representatives 17
a report that provides a summary of the activities 18
and outcomes associated with grants made under 19
this section. Such reports shall include— 20
‘‘(A) a list of awardees, including their pri-21
mary geographic location, and location of any 22
school of medicine or osteopathic medicine, or a 23
branch campus of school of medicine or osteo-24
pathic medicine that was established, improved, 25
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or expanded under the program under this sec-1
tion; 2
‘‘(B) the total number of students (includ-3
ing the number of students from racial and eth-4
nic groups underrepresented among medical 5
students and health professions, low-income 6
students, and first generation college students) 7
who— 8
‘‘(i) are enrolled at, or who have grad-9
uated from, any school of medicine or os-10
teopathic medicine, or a branch campus of 11
school of medicine or osteopathic medicine, 12
that was established, improved, or ex-13
panded under the program under this sec-14
tion, deidentified and disaggregated by 15
race, ethnicity, age, sex, geographic region, 16
disability status, and other relevant fac-17
tors, to the extent such information is 18
available; and 19
‘‘(ii) who subsequently participate in 20
an accredited internship or medical resi-21
dency program upon graduation from any 22
school of medicine or osteopathic medicine, 23
or a branch campus of a school of medicine 24
or osteopathic medicine, that was estab-25
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lished, improved, or expanded under the 1
program under this section, deidentified 2
and disaggregated by race, ethnicity, age, 3
sex, geographic region, disability status, 4
medical specialty pursued, and other rel-5
evant factors, to the extent such informa-6
tion is available; 7
‘‘(C) the effects of such program on the 8
health care provider workforce, including any 9
impact on demographic representation 10
disaggregated by race, ethnicity, and sex, and 11
the fields or specialties pursued by students 12
who have graduated from any school of medi-13
cine or osteopathic medicine, or a branch cam-14
pus of school of medicine or osteopathic medi-15
cine, that was established, improved, or ex-16
panded under the program under this section; 17
‘‘(D) the effects of such program on health 18
care access in underserved areas, including 19
medically underserved communities and health 20
professional shortage areas; and 21
‘‘(E) recommendations for improving the 22
program described in this section, and any 23
other considerations as the Secretary deter-24
mines appropriate. 25
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‘‘(3) PUBLIC AVAILABILITY.—The Secretary 1
shall make reports submitted under paragraph (2) 2
publicly available on the website of the Department 3
of Health and Human Services. 4
‘‘(g) D
EFINITIONS.—In this section: 5
‘‘(1) B
RANCH CAMPUS.— 6
‘‘(A) I
N GENERAL.—The term ‘branch 7
campus’, with respect to a school of medicine or 8
osteopathic medicine, means an additional loca-9
tion of such school that is geographically apart 10
and independent of the main campus, at which 11
the school offers at least 50 percent of the pro-12
gram leading to a degree of doctor of medicine 13
or doctor of osteopathy that is offered at the 14
main campus. 15
‘‘(B) I
NDEPENDENCE FROM MAIN CAM -16
PUS.—For purposes of subparagraph (A), the 17
location of a school described in such subpara-18
graph shall be considered to be independent of 19
the main campus described in such subpara-20
graph if the location— 21
‘‘(i) is permanent in nature; 22
‘‘(ii) offers courses in educational pro-23
grams leading to a degree, certificate, or 24
other recognized educational credential; 25
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‘‘(iii) has its own faculty and adminis-1
trative or supervisory organization; and 2
‘‘(iv) has its own budgetary and hiring 3
authority. 4
‘‘(2) F
IRST GENERATION COLLEGE STUDENT .— 5
The term ‘first generation college student’ has the 6
meaning given such term in section 402A(h)(3) of 7
the Higher Education Act of 1965. 8
‘‘(3) H
EALTH PROFESSIONAL SHORTAGE 9
AREA.—The term ‘health professional shortage area’ 10
has the meaning given such term in section 332(a). 11
‘‘(4) I
NSTITUTION OF HIGHER EDUCATION .— 12
The term ‘institution of higher education’ has the 13
meaning given such term in section 101 of the High-14
er Education Act of 1965. 15
‘‘(5) M
EDICALLY UNDERSERVED COMMUNITY .— 16
The term ‘medically underserved community’ has the 17
meaning given such term in section 799B(6). 18
‘‘(h) A
UTHORIZATION OF APPROPRIATIONS.—There 19
is authorized to be appropriated such sums as may be nec-20
essary to carry out this section.’’. 21
Æ
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