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. 935 |
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5 | 5 | | To amend the Public Health Service Act to provide for a health care |
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6 | 6 | | workforce innovation program. |
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7 | 7 | | IN THE HOUSE OF REPRESENTATIVES |
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8 | 8 | | FEBRUARY4, 2025 |
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9 | 9 | | Mr. G |
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10 | 10 | | ARBARINO(for himself, Ms. SCHRIER, Mr. VALADAO, and Ms. CRAIG) |
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11 | 11 | | introduced the following bill; which was referred to the Committee on En- |
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12 | 12 | | ergy and Commerce |
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13 | 13 | | A BILL |
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14 | 14 | | To amend the Public Health Service Act to provide for |
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15 | 15 | | a health care workforce innovation program. |
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16 | 16 | | Be it enacted by the Senate and House of Representa-1 |
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17 | 17 | | tives of the United States of America in Congress assembled, 2 |
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18 | 18 | | SECTION 1. SHORT TITLE. 3 |
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19 | 19 | | This Act may be cited as the ‘‘Health Care Workforce 4 |
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20 | 20 | | Innovation Act of 2025’’. 5 |
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21 | 21 | | SEC. 2. HEALTH CARE WORKFORCE INNOVATION PRO-6 |
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22 | 22 | | GRAM. 7 |
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23 | 23 | | Section 755(b) of the Public Health Service Act (42 8 |
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24 | 24 | | U.S.C. 294e(b)) is amended by adding at the end the fol-9 |
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25 | 25 | | lowing: 10 |
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28 | 28 | | •HR 935 IH |
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29 | 29 | | ‘‘(5)(A) Supporting and developing new innova-1 |
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30 | 30 | | tive, community-driven approaches for the education 2 |
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31 | 31 | | and training of allied health professionals, including 3 |
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32 | 32 | | those described in subparagraph (F)(i), with an em-4 |
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33 | 33 | | phasis on expanding the supply of such professionals 5 |
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34 | 34 | | located in, and meeting the needs of, underserved 6 |
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35 | 35 | | communities and rural areas. Grants or contracts 7 |
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36 | 36 | | under this paragraph shall be awarded through a 8 |
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37 | 37 | | new program (referred to as the ‘Health Care Work-9 |
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38 | 38 | | force Innovation Program’ or in this paragraph as 10 |
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39 | 39 | | the ‘Program’). 11 |
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40 | 40 | | ‘‘(B) To be eligible to receive a grant or con-12 |
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41 | 41 | | tract under the Program an entity shall— 13 |
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42 | 42 | | ‘‘(i) be a Federally qualified health center 14 |
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43 | 43 | | (as defined in section 1905(l)(2)(B) of the So-15 |
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44 | 44 | | cial Security Act), a State-level association or 16 |
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45 | 45 | | other consortium that represents and is com-17 |
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46 | 46 | | prised of Federally qualified health centers, a 18 |
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47 | 47 | | certified rural health clinic that meets the re-19 |
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48 | 48 | | quirements of section 334, or an accredited, 20 |
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49 | 49 | | nonprofit post-secondary vocational program 21 |
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50 | 50 | | that trains allied health professionals to work in 22 |
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51 | 51 | | primary care settings; and 23 |
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52 | 52 | | ‘‘(ii) submit to the Secretary an application 24 |
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53 | 53 | | that, at a minimum, contains— 25 |
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56 | 56 | | •HR 935 IH |
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57 | 57 | | ‘‘(I) a description of how all trainees 1 |
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58 | 58 | | will be trained in accredited training pro-2 |
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59 | 59 | | grams either directly or through partner-3 |
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60 | 60 | | ships with public or nonprofit private enti-4 |
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61 | 61 | | ties, such as schools of allied health; 5 |
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62 | 62 | | ‘‘(II) a description of the community- 6 |
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63 | 63 | | driven health care workforce innovation 7 |
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64 | 64 | | model to be carried out under the grant or 8 |
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65 | 65 | | contract, including the specific allied health 9 |
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66 | 66 | | professions to be funded; 10 |
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67 | 67 | | ‘‘(III) the geographic service area that 11 |
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68 | 68 | | will be served, including quantitative data, 12 |
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69 | 69 | | if available, showing that such particular 13 |
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70 | 70 | | area faces a shortage of allied health pro-14 |
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71 | 71 | | fessionals and lacks access to health care; 15 |
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72 | 72 | | ‘‘(IV) a description of the benefits 16 |
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73 | 73 | | provided to each health care professional 17 |
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74 | 74 | | trained under the proposed model during 18 |
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75 | 75 | | the education and training phase; 19 |
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76 | 76 | | ‘‘(V) a description of the experience 20 |
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77 | 77 | | that the applicant has in the recruitment, 21 |
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78 | 78 | | retention, and promotion of the well-being 22 |
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79 | 79 | | of workers and volunteers; 23 |
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80 | 80 | | ‘‘(VI) a description of how the fund-24 |
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81 | 81 | | ing awarded under the Program will sup-25 |
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84 | 84 | | •HR 935 IH |
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85 | 85 | | plement rather than supplant existing 1 |
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86 | 86 | | funding; 2 |
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87 | 87 | | ‘‘(VII) a description of the scalability 3 |
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88 | 88 | | and replicability of the community-driven 4 |
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89 | 89 | | approach to be funded under the Program; 5 |
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90 | 90 | | ‘‘(VIII) a description of the infra-6 |
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91 | 91 | | structure, outreach and communication 7 |
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92 | 92 | | plan, and other program support costs re-8 |
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93 | 93 | | quired to operationalize the proposed 9 |
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94 | 94 | | model; and 10 |
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95 | 95 | | ‘‘(IX) any other information, as the 11 |
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96 | 96 | | Secretary determines appropriate. 12 |
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97 | 97 | | ‘‘(C)(i) An entity shall use amounts received 13 |
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98 | 98 | | under a grant or contract awarded under the Pro-14 |
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99 | 99 | | gram to carry out the innovative, community-driven 15 |
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100 | 100 | | model described in the application under subpara-16 |
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101 | 101 | | graph (B). Such amounts may be used for launching 17 |
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102 | 102 | | new or expanding existing innovative health care 18 |
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103 | 103 | | professional partnerships, including the following 19 |
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104 | 104 | | specific uses: 20 |
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105 | 105 | | ‘‘(I) Establishing or expanding a partner-21 |
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106 | 106 | | ship between such entity and 1 or more high 22 |
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107 | 107 | | schools, accredited public or nonprofit private 23 |
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108 | 108 | | vocational-technical schools, accredited public or 24 |
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109 | 109 | | nonprofit private 2-year colleges, area health 25 |
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112 | 112 | | •HR 935 IH |
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113 | 113 | | education centers, and entities with clinical set-1 |
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114 | 114 | | tings for the provision of education and training 2 |
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115 | 115 | | opportunities not available at the grantee’s fa-3 |
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116 | 116 | | cilities. 4 |
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117 | 117 | | ‘‘(II) Providing education and training 5 |
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118 | 118 | | programs to improve allied health professionals’ 6 |
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119 | 119 | | readiness in settings that serve underserved 7 |
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120 | 120 | | communities and rural areas; encouraging stu-8 |
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121 | 121 | | dents from underserved and disadvantaged 9 |
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122 | 122 | | backgrounds and former patients to consider 10 |
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123 | 123 | | careers in health care, and better reflecting and 11 |
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124 | 124 | | meeting community needs; providing education 12 |
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125 | 125 | | and training programs for individuals to work 13 |
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126 | 126 | | in patient-centered, team-based, community- 14 |
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127 | 127 | | driven health care models that include integra-15 |
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128 | 128 | | tion with other clinical practitioners and train-16 |
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129 | 129 | | ing in cultural and linguistic competence; pro-17 |
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130 | 130 | | viding pre-apprenticeship and apprenticeship 18 |
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131 | 131 | | programs for health care technical, support, 19 |
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132 | 132 | | and entry-level occupations, particularly for 20 |
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133 | 133 | | those enrolled in dual or concurrent enrollment 21 |
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134 | 134 | | programs; building a preceptorship training-to- 22 |
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135 | 135 | | practice model for medical, behavioral health, 23 |
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136 | 136 | | oral health, and public health disciplines in an 24 |
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137 | 137 | | integrated, community-driven setting; providing 25 |
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140 | 140 | | •HR 935 IH |
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141 | 141 | | and expanding internships, career ladders, and 1 |
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142 | 142 | | development opportunities for health care pro-2 |
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143 | 143 | | fessionals, including new and existing staff; or 3 |
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144 | 144 | | investing in training equipment, supplies, and 4 |
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145 | 145 | | limited renovations or retrofitting of training 5 |
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146 | 146 | | space needed for grantees to carry out their 6 |
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147 | 147 | | particular model. 7 |
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148 | 148 | | ‘‘(ii) Amounts received under a grant or con-8 |
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149 | 149 | | tract awarded under the Program shall not be used 9 |
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150 | 150 | | to support construction costs or to supplant funding 10 |
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151 | 151 | | from existing programs that support the applicant’s 11 |
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152 | 152 | | health workforce. 12 |
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153 | 153 | | ‘‘(iii) Models funded under the Program shall 13 |
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154 | 154 | | be for a duration of at least 3 years. 14 |
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155 | 155 | | ‘‘(D) In awarding grants or contracts under the 15 |
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156 | 156 | | Program, the Secretary shall give priority to appli-16 |
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157 | 157 | | cants that will use grant or contract funds to sup-17 |
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158 | 158 | | port workforce innovation models that increase the 18 |
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159 | 159 | | number of individuals from underserved and dis-19 |
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160 | 160 | | advantaged backgrounds working in such health care 20 |
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161 | 161 | | professions, improve access to health care (including 21 |
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162 | 162 | | medical, behavioral health and oral health) in under-22 |
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163 | 163 | | served communities, or demonstrate that the model 23 |
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164 | 164 | | can be replicated in other underserved communities 24 |
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167 | 167 | | •HR 935 IH |
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168 | 168 | | in a cost-efficient and effective manner to achieve 1 |
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169 | 169 | | the purposes of the Program. 2 |
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170 | 170 | | ‘‘(E) An entity that receives a grant or contract 3 |
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171 | 171 | | under the Program shall provide periodic reports to 4 |
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172 | 172 | | the Secretary detailing the findings and outcomes of 5 |
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173 | 173 | | the innovative, community-driven model carried out 6 |
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174 | 174 | | under the grant. Such reports shall contain informa-7 |
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175 | 175 | | tion in a manner and at such times as determined 8 |
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176 | 176 | | appropriate by the Secretary. 9 |
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177 | 177 | | ‘‘(F) In this paragraph: 10 |
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178 | 178 | | ‘‘(i) The term ‘allied health professional’ 11 |
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179 | 179 | | includes individuals who provide clinical support 12 |
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180 | 180 | | services, including medical assistants, dental as-13 |
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181 | 181 | | sistants, dental hygienists, dental therapists, 14 |
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182 | 182 | | pharmacy technicians, physical therapists, phys-15 |
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183 | 183 | | ical therapist assistants, and health care inter-16 |
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184 | 184 | | preters; individuals providing non-clinical sup-17 |
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185 | 185 | | port, such as billing and coding professionals 18 |
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186 | 186 | | and health information technology profes-19 |
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187 | 187 | | sionals; dieticians; medical technologists; emer-20 |
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188 | 188 | | gency medical technicians; community health 21 |
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189 | 189 | | workers; health education specialists; health 22 |
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190 | 190 | | care paraprofessionals; and peer support spe-23 |
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191 | 191 | | cialists. 24 |
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195 | 195 | | ‘‘(ii) The term ‘rural area’ has the mean-1 |
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196 | 196 | | ing given such term by the Administrator of the 2 |
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197 | 197 | | Health Resources and Services Administration. 3 |
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198 | 198 | | ‘‘(iii) The term ‘underserved communities’ 4 |
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199 | 199 | | means areas, population groups, and facilities 5 |
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200 | 200 | | designated as health professional shortage areas 6 |
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201 | 201 | | under section 332, medically underserved areas 7 |
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202 | 202 | | as defined under section 330I(a), or medically 8 |
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203 | 203 | | underserved populations as defined under sec-9 |
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204 | 204 | | tion 330(b)(3). 10 |
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205 | 205 | | ‘‘(G)(i) There are authorized to be appropriated 11 |
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206 | 206 | | such sums as may be necessary for each of fiscal 12 |
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207 | 207 | | years 2026 through 2028, to carry out this para-13 |
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208 | 208 | | graph, to remain available until expended. 14 |
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209 | 209 | | ‘‘(ii) A grant or contract provided under the 15 |
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210 | 210 | | Program shall not exceed $2,500,000 for a grant pe-16 |
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211 | 211 | | riod.’’. 17 |
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212 | 212 | | Æ |
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