United States Physician Shortage Elimination Act of 2006 - Amends the Public Health Service Act to require the Secretary of Health and Human Services to establish the National Health Service Corps Medical School Scholarship Program to ensure an adequate supply of physicians providing primary health services. Requires the Secretary to provide scholarships and accept individuals into the Corps in exchange for such individuals completing a residency in a specialty needed by the Corps and serving as a provider of primary health services in a health professional shortage area for six years.
Allows the Secretary to make grants to: (1) increase the capacity of medical schools to accept students each year; (2) recruit students to participate in the Corps Scholarship Program; (3) increase the number of minority health professionals servicing medically underserved communities; and (4) establish new or alternative-campus accredited medical residency programs affiliated with accredited medical programs.
Allows the Secretary, acting through the Administrator of the Health Resources and Services Administration (HRSA), to make grants to community health centers to: (1) increase the number of medical service providers associated with such centers; and (2) increase primary care capabilities through the construction, expansion, or renovation of facilities.
[Congressional Bills 109th Congress]
[From the U.S. Government Publishing Office]
[H.R. 5770 Introduced in House (IH)]
109th CONGRESS
2d Session
H. R. 5770
To amend the Public Health Service Act to increase the physician
manpower in the areas of primary care, psychiatric care, and emergency
medicine in federally designated physician shortage areas, and for
other purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
July 12, 2006
Mr. Conyers (for himself, Mrs. Christensen, Mr. Davis of Illinois, Mr.
Jackson of Illinois, Ms. Jackson-Lee of Texas, and Mr. Bishop of
Georgia) introduced the following bill; which was referred to the
Committee on Energy and Commerce
_______________________________________________________________________
A BILL
To amend the Public Health Service Act to increase the physician
manpower in the areas of primary care, psychiatric care, and emergency
medicine in federally designated physician shortage areas, and for
other purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``United States Physician Shortage
Elimination Act of 2006''.
SEC. 2. FINDINGS.
Congress finds the following:
(1) The average life expectancy in the United States has
increased to 80 years of age, causing an ever-increasing demand
for medical care.
(2) In 1975, United States medical schools graduated
approximately 12,716 physicians. Half of these physicians
entered programs of medical studies as graduates of United
States colleges and universities. The other half consisted of
graduates of foreign institutions admitted to United States
medical schools under the J-1 Visa Program.
(3) Presently, the number of applicants, foreign and
domestic, seeking admission to United States medical schools
has decreased to approximately 37,364.
(4) During the last 20 years, median tuition and fees at
medical schools have increased by 745 percent (270 percent
adjusted for inflation) in private schools and by 876 percent
(318 percent adjusted for inflation) in public schools.
(5) Physicians who graduated from medical schools in the
1970's will be leaving the profession within the next 10 years,
causing a decrease of 30 percent in the supply of physicians,
while the population will have increased by 24 percent.
(6) The Indiana State Medical Licensing Board has estimated
that in 20 years there will be 200,000 fewer physicians
available to deliver medical services.
(7) In 2005, the Council on Graduate Medical Education
stated in a report to Congress that there will be a shortage of
not fewer than 90,000 full-time physicians by 2020.
(8) A decrease in Federal spending to carry out programs
authorized by title VII of the Public Health Service Act
threatens the viability of programs used to solve the problem
of inadequate access to health care.
(9) A continuing decline in the number of family physicians
may lead to renewed shortages of safety net and rural
physicians.
(10) There is a declining ability to recruit qualified
medical students from rural and underserved areas, coupled with
greater difficulty on the part of community health centers and
other clinics to attract adequate personnel.
SEC. 3. NATIONAL HEALTH SERVICE CORPS MEDICAL SCHOOL SCHOLARSHIP
PROGRAM.
(a) Program Authorized.--Subpart III of part D of title III of the
Public Health Service Act (42 U.S.C. 254l et seq.) is amended--
(1) in the heading by inserting ``, Medical School
Scholarship Program,'' after ``Scholarship Program''; and
(2) by inserting after section 338A the following:
``SEC. 338A-1. NATIONAL HEALTH SERVICE CORPS MEDICAL SCHOOL SCHOLARSHIP
PROGRAM.
``(a) Establishment.--
``(1) In general.--The Secretary shall establish a program
to be known as the National Health Service Corps Medical School
Scholarship Program (in this subpart referred to as the
`Medical School Scholarship Program' to ensure, with respect to
the provision of primary health services, including primary
care, psychiatric care, and emergency medical services,
pursuant to section 331(a)(2), an adequate supply of
physicians. The purpose of the program is to train an
additional 5000 medical students each year.
``(2) Relationship to national health service corps
scholarship program.--Scholarships provided under this section
are intended to complement, and not take the place of,
scholarships provided to students enrolled in courses of study
leading to a degree in medicine or osteopathic medicine under
the National Health Service Corps Scholarship Program
authorized by section 338A.
``(b) Eligibility.--To be eligible to participate in the Medical
School Scholarship Program, an individual must--
``(1) be accepted for enrollment as a full-time student--
``(A) in an accredited (as determined by the
Secretary) educational institution in a State; and
``(B) in a course of study, or program, offered by
such institution leading to a degree in medicine or
osteopathic medicine;
``(2) be eligible for, or hold, an appointment as a
commissioned officer in the Regular or Reserve Corps of the
Service or be eligible for selection for civilian service in
the Corps;
``(3) submit an application to participate in the Medical
School Scholarship Program; and
``(4) sign and submit to the Secretary, at the time of
submittal of such application, a written contract (described in
subsection (f)) to accept payment of a scholarship and to serve
(in accordance with this subpart) for the applicable period of
obligated service in a health professional shortage area.
``(c) Application, Contract, and Information Requirements.--
``(1) Summary and information.--In disseminating
application forms and contract forms to individuals desiring to
participate in the Medical School Scholarship Program, the
Secretary shall include with such forms--
``(A) a fair summary of the rights and liabilities
of an individual whose application is approved (and
whose contract is accepted) by the Secretary, including
in the summary a clear explanation of the damages to
which the United States is entitled under section 338E
in the case of the individual's breach of the contract;
and
``(B) information respecting meeting a service
obligation through private practice under an agreement
under section 338D and such other information as may be
necessary for the individual to understand the
individual's prospective participation in the Medical
School Scholarship Program and service in the Corps,
including a statement of all factors considered in
approving applications for participation in the Program
and in making assignments for participants in the
Program.
``(2) Understandability and clarity.--The application form,
contract form, and all other information furnished by the
Secretary under this subpart shall be written in a manner
calculated to be understood by the average individual applying
to participate in the Medical School Scholarship Program.
``(3) Availability.--The Secretary shall make such
application forms, contract forms, and other information
available to individuals desiring to participate in the Medical
School Scholarship Program on a date sufficiently early to
ensure that such individuals have adequate time to carefully
review and evaluate such forms and information.
``(4) Recruitment and retention.--
``(A) Distribution of materials.--The Secretary
shall distribute to schools of medicine, schools of
osteopathic medicine, and medical organizations
participating in a medical pipeline program described
in section 749 materials providing information on the
Medical School Scholarship Program and shall encourage
the schools and organizations to disseminate the
materials to students of the schools and students being
recruited through the medical pipeline program.
``(B) Retention of health professionals in shortage
areas.--
``(i) Health professionals nearing
completion of obligated service.--In the case
of any health professional whose period of
obligated service under the Medical School
Scholarship Program is nearing completion, the
Secretary shall encourage the individual to
remain in a health professional shortage area
and to continue providing primary health
services.
``(ii) Health professionals making a
transition to private practice.--During the
period in which a health professional is
planning and making the transition to private
practice from obligated service under the
Medical School Scholarship Program, the
Secretary may provide assistance to the
professional regarding such transition if the
professional is remaining in a health
professional shortage area and is continuing to
provide primary health services.
``(C) Options to encourage health professionals to
remain in health professional shortage areas.--In the
case of entities to which participants in the Medical
School Scholarship Program are assigned under section
333, the Secretary shall encourage the entities to
provide options with respect to assisting the
participants in remaining in the health professional
shortage areas involved, and in continuing to provide
primary health services, after the period of obligated
service under the Medical School Scholarship Program is
completed. The options with respect to which the
Secretary provides such encouragement may include
options regarding the sharing of a single employment
position in the health professions by 2 or more health
professionals, and options regarding the recruitment of
couples where both of the individuals are health
professionals.
``(d) Considerations in Providing Contracts.--
``(1) Factors.--Subject to section 333A, in providing
contracts under the Medical School Scholarship Program, the
Secretary--
``(A) shall consider--
``(i) the extent of the demonstrated
interest of the applicants for the contracts in
providing primary health services; and
``(ii) the extent of the demonstrated
interest of the applicants for the contracts in
working with underserved communities; and
``(B) may consider such other factors regarding the
applicants as the Secretary determines to be relevant
to selecting qualified individuals to participate in
such Program.
``(2) Highest priority.--In providing contracts under the
Medical School Scholarship Program, the Secretary shall give
highest priority to any application for such a contract
submitted by an individual who has been recruited and admitted
to a medical school through a medical pipeline program
described in section 749.
``(3) Second-highest priority.--In providing contracts
under the Medical School Scholarship Program, the Secretary
shall give second-highest priority--
``(A) to any application for such a contract
submitted by an individual who has (and whose spouse,
if any, has) characteristics that increase the
probability that the individual will continue to serve
in a health professional shortage area after the period
of obligated service pursuant to subsection (f) is
completed; and
``(B) subject to subparagraph (A), to any
application for such a contract submitted by an
individual who is from a disadvantaged background and
who would otherwise be unable to afford a medical
school education.
``(e) Approval Required.--
``(1) Approval of participation.--An individual becomes a
participant in the Medical School Scholarship Program only upon
the Secretary's approval of the individual's application
submitted under subsection (b)(3) and the Secretary's
acceptance of the contract submitted by the individual under
subsection (b)(4).
``(2) Written notice.--The Secretary shall provide written
notice to an individual promptly upon the Secretary's
approving, under paragraph (1), of the individual's
participation in the Medical School Scholarship Program.
``(f) Contents of Contracts.--The written contract (referred to in
this subpart) between the Secretary and an individual shall contain--
``(1) an agreement that--
``(A) subject to paragraph (2), the Secretary
agrees--
``(i) to provide the individual with a
scholarship (described in subsection (g))
during the entire period in which the
individual is pursuing a course of study
described in subsection (b)(1)(B), with such
period not to exceed 5 years; and
``(ii) to accept (subject to the
availability of appropriated funds for carrying
out sections 331 through 335 and section 337)
the individual into the Corps (or for
equivalent service as otherwise provided in
this subpart); and
``(B) subject to paragraph (2), the individual
agrees--
``(i) to accept provision of such a
scholarship to the individual;
``(ii) to maintain enrollment in a course
of study described in subsection (b)(1)(B)
until the individual completes the course of
study;
``(iii) while enrolled in such course of
study, to maintain an acceptable level of
academic standing (as determined under
regulations of the Secretary by the educational
institution offering such course of study);
``(iv) to complete a residency in a
specialty that the Secretary determines is
consistent with the needs of the Corps, except
that the Secretary shall not determine the
location of the residency training; and
``(v) to serve for a time period
(hereinafter in the subpart referred to as the
`period of obligated service') equal to 6
years, as a provider of primary health services
in a health professional shortage area
(designated under section 332) to which the
individual is assigned by the Secretary as a
member of the Corps, or as otherwise provided
in this subpart;
``(2) a provision that any financial obligation of the
United States arising out of a contract entered into under this
subpart and any obligation of the individual which is
conditioned thereon, is contingent upon funds being
appropriated for scholarships under this subpart and to carry
out the purposes of sections 331 through 335 and sections 337
and 338;
``(3) a statement of the damages to which the United States
is entitled, under section 338E for the individual's breach of
the contract; and
``(4) such other statements of the rights and liabilities
of the Secretary and of the individual, not inconsistent with
the provisions of this subpart.
``(g) Scholarships.--
``(1) In general.--A scholarship provided to a student for
a school year under a written contract under the Medical School
Scholarship Program shall consist of--
``(A) payment to, or (in accordance with paragraph
(2)) on behalf of, the student of the amount (except as
provided in section 711) of--
``(i) the tuition of the student in such
school year; and
``(ii) all other reasonable educational
expenses, including fees, books, and laboratory
expenses, incurred by the student in such
school year; and
``(B) payment to the student of a stipend of--
``(i) $2500 per month (adjusted in
accordance with paragraph (3)) for each of the
12 consecutive months beginning with the first
month of such school year during the first and
second school years of the program of study
leading to a degree in medicine or osteopathic
medicine; and
``(ii) $3000 per month (adjusted in
accordance with paragraph (3)) for each of the
12 consecutive months beginning with the first
month of such school year during each
subsequent school year of the program of study
leading to a degree in medicine or osteopathic
medicine.
``(2) Contracts with schools of medicine and schools of
osteopathic medicine.--The Secretary may contract with a school
of medicine or school of osteopathic medicine, in which a
participant in the Medical School Scholarship Program is
enrolled, for the payment to the school of the amounts of
tuition and other reasonable educational expenses described in
paragraph (1)(A). Payment to such a school may be made without
regard to section 3648 of the Revised Statutes (31 U.S.C. 529).
``(3) Adjustment of monthly stipend.--The amount of the
monthly stipend, specified in paragraph (1)(B) and as
previously adjusted (if at all) in accordance with this
paragraph, shall be increased by the Secretary for each school
year ending in a fiscal year beginning after September 30,
2010, by an amount (rounded to the next highest multiple of $1)
equal to the amount of such stipend multiplied by the overall
percentage (under section 5303 of title 5, United States Code)
of the adjustment (if such adjustment is an increase) in the
rates of pay under the General Schedule made effective in the
fiscal year in which such school year ends.
``(h) Employment Ceiling.--Notwithstanding any other provision of
law, individuals who have entered into written contracts with the
Secretary under this section, while undergoing academic training, shall
not be counted against any employment ceiling affecting the Department.
``(i) Authorization of Appropriations.--There is authorized to be
appropriated $425,000,000 for fiscal year 2007 and such sums as may be
necessary in each fiscal year thereafter to carry out this section.''.
(b) Obligated Service.--Section 338C of such Act (42 U.S.C. 254m)
is amended--
(1) in subsection (a) by striking ``338A'' and inserting
``338A, 338A-1,'';
(2) in subsection (b)(1) by striking ``338A(f)(1)(B)(v)''
and inserting ``338A(f)(1)(B)(v), 338A-1(f)(1)(B)(v),''; and
(3) in subsection (b)(5)(A) by striking ``the Scholarship
Program'' and inserting ``the Scholarship Program and the
Medical School Scholarship Program''.
(c) Private Practice.--Section 338D of such Act (42 U.S.C. 254n) is
amended--
(1) in subsection (a)(1) by striking ``the Scholarship
Program'' and inserting ``the Scholarship Program or the
Medical School Scholarship Program''; and
(2) in subsection (c) by striking ``338A'' and inserting
``338A, 338A-1,''.
(d) Breach of Scholarship Contract.--Section 338E of such Act (42
U.S.C. 254o) is amended--
(1) by striking ``338A'' each place it appears and
inserting ``338A or 338A-1'';
(2) by striking ``the Scholarship Program'' each place it
appears and inserting ``the Scholarship Program or the Medical
School Scholarship Program'';
(3) in subsection (b)(1)(A) by striking
``338A(f)(1)(B)(iv)'' and inserting ``338A(f)(1)(B)(iv) or
338A-1(f)(1)(B)(iv)'';
(4) in subsection (b)(3)(B) by striking ``338A(g)'' and
inserting ``338A(g) or 338A-1(g)''; and
(5) in subsection (d)(3)(B)(i) by striking ``the
Scholarship or Loan Repayment Program (or contract
thereunder)'' and inserting ``the Scholarship Program, the
Medical School Scholarship Program, or the Loan Repayment
Program (or a contract under any of such programs)''.
(e) Fund Regarding Use of Amounts Recovered for Contract Breach to
Replace Services Lost as Result of Breach.--Section 338F of such Act
(42 U.S.C. 254o-1) is amended by striking ``338A'' each place it
appears and inserting ``338A, 338A-1,''.
SEC. 4. GRANTS TO INCREASE THE NUMBER OF AVAILABLE SLOTS FOR NEWLY
ADMITTED MEDICAL STUDENTS AND TO INCREASE PARTICIPATION
IN THE NATIONAL HEALTH SERVICE CORPS MEDICAL SCHOOL
SCHOLARSHIP PROGRAM.
Part C of title VII of the Public Health Service Act (42 U.S.C.
293k et seq.) is amended by adding at the end the following:
``SEC. 749. GRANTS TO INCREASE THE NUMBER OF AVAILABLE SLOTS FOR NEWLY
ADMITTED MEDICAL STUDENTS AND TO INCREASE PARTICIPATION
IN THE NATIONAL HEALTH SERVICE CORPS MEDICAL SCHOOL
SCHOLARSHIP PROGRAM.
``(a) Grants to Medical Schools.--
``(1) Program authorized.--The Secretary may make grants to
medical schools for the following purposes:
``(A) To increase the capacity of the recipient
medical school to accept additional medical students
each year.
``(B) To develop curriculum.
``(C) To acquire equipment.
``(D) To recruit, train, and retain faculty.
``(E) To provide assistance to students who have
completed a course of study at the recipient medical
school during the period in which such students are
completing a residency program affiliated with the
recipient medical school.
``(2) Application.--A medical school seeking a grant under
this subsection shall submit an application to the Secretary at
such time, in such manner, and containing such information as
the Secretary may require.
``(3) Priority for additional slots.--Priority for
additional slots made available using funds from a grant
awarded under this subsection shall be given to students who
have been recruited by the recipient medical school through a
medical school pipeline program described in subsection (b)(2).
``(b) Grants to Medical Organizations.--
``(1) Program authorized.--The Secretary may make grants to
eligible medical organizations for the following purposes:
``(A) To recruit students to participate in the
National Health Service Corps Medical School
Scholarship Program authorized by section 338A-1 (in
this section referred to as the `Medical School
Scholarship Program').
``(B) To participate in a medical school pipeline
program described in paragraph (2).
``(2) Medical school pipeline program.--A medical school
pipeline program is a program to target minority students to
increase the number of minority health professionals serving
medically underserved communities through activities including
tutoring, course development, and other student support
designed to recruit students from middle schools, high schools,
and universities to participate in the Medical School
Scholarship Program.
``(3) Grant amounts.--The Secretary shall determine the
amount of a grant based on factors including the cost of living
and health care needs of the State for which students are
recruited.
``(4) Application.--A medical organization seeking a grant
under this subsection shall submit an application to the
Secretary at such time, in such manner, and containing such
information as the Secretary may require, including--
``(A) a description of how the organization will
carry out the purposes described in subsection (b)(1);
``(B) a description of goals and objectives with
respect to--
``(i) the intended number of students to be
accepted and graduated from medical schools
each year under the grant program established
under this subsection;
``(ii) the intended number of newly
graduated students who will serve in medically
underserved communities; and
``(iii) the intended number of individuals
in medically underserved communities who will
have access to primary care physicians as a
result of the increase in graduating physicians
under the grant program; and
``(C) information regarding the anticipated number
of Medical School Scholarship students the organization
seeks to recruit.
``(5) Reports required.--
``(A) Grant recipients.--A recipient of a grant
under this subsection shall submit to the Secretary at
the end of each fiscal year in which a grant is
received, a report containing the following:
``(i) The amount of the grant received
under this subsection.
``(ii) An expense report detailing the use
of amounts from a grant under this subsection.
``(iii) A description of the results of the
use of amounts from a grant under this
subsection.
``(B) Secretary.--At the end of each fiscal year in
which grants under this subsection are made, the
Secretary shall compile and submit to Congress the
information received under paragraph (5)(A).
``(c) Definitions.--In this section, the following definitions
apply:
``(1) Medical school.--The term `medical school' means a
school of medicine or a school of osteopathic medicine.
``(2) Medical school scholarship student.--The term
`Medical School Scholarship Student' means a student who is a
recipient of a scholarship under the Health Service Corps
Medical School Scholarship Program authorized by section 338A-
1.
``(3) Medical organization.--The term `medical
organization' means a national, State, local, or community-
based public or nonprofit private organization having as its
mission the goal of identifying and recruiting minority
students for health professions.
``(d) Authorization of Appropriations.--There is authorized to be
appropriated--
``(1) $500,000,000 for fiscal year 2007 and such sums as
may be necessary in each fiscal year thereafter to carry out
subsection (a); and
``(2) $35,000,000 for fiscal year 2007 and such sums as may
be necessary in each fiscal year thereafter to carry out
subsection (b).''.
SEC. 5. EXPANSION OF RESIDENCY PROGRAMS AND PRIMARY CARE SERVICES
OFFERED BY COMMUNITY HEALTH CENTERS.
Part C of title VII of the Public Health Service Act (42 U.S.C.
293k et seq.) is amended by adding after section 749 the following:
``SEC. 749A. GRANTS TO ESTABLISH MEDICAL RESIDENCY PROGRAMS AT
COMMUNITY HEALTH CENTERS.
``(a) Program Authorized.--The Secretary may make grants to
community health centers to establish, at the centers, new or
alternative-campus accredited medical residency programs affiliated
with accredited medical programs.
``(b) Use of Funds.--Amounts from a grant under this section shall
be used to cover the costs of establishing the medical residency
program described in subsection (a), including costs associated with--
``(1) curriculum development;
``(2) equipment acquisition; and
``(3) recruitment, training, and retention of residents and
faculty.
``(c) Applications.--A community health center seeking a grant
under this section shall submit an application to the Secretary at such
time, in such manner, and containing such information as the Secretary
may require.
``(d) Review of Applications.--In reviewing applications submitted
under subsection (c), and in selecting recipients for a grant under
this section, the Secretary shall give preference to funding medical
residency programs focusing on providing training in primary care,
psychiatric care, and emergency care medicine.
``(e) Definitions.--In this section, the following definitions
apply:
``(1) Accredited.--The term `accredited', as applied to a
new or alternative-campus medical residency program, means a
program that is accredited by a recognized body or bodies
approved for such purpose by the Accreditation Council for
Graduate Medical Education, except that a new medical residency
program that, by reason of an insufficient period of operation,
is not eligible for accreditation on or before the date of
submission of an application under subsection (c) shall be
deemed accredited if the Accreditation Council for Graduate
Medical Education finds, after consultation with the
appropriate accreditation body or bodies, that there is
reasonable assurance that the program will meet the
accreditation standards of such body or bodies prior to the
date of graduation of the first entering class in that program.
``(2) Community health center.--The term `community health
center' means a health center as defined in section 330.
``(3) Medical program.--The term `medical program' means a
program in medicine or a program in osteopathic medicine.
``SEC. 749B. GRANTS TO IMPROVE DELIVERY OF PRIMARY CARE SERVICES IN
COMMUNITY HEALTH CENTERS.
``(a) Primary Care Access Grants.--
``(1) Program authorized.--The Secretary, acting through
the Administrator of the Health Resources and Services
Administration, may make grants to community health centers for
the purpose of increasing the number of medical service
providers associated with such centers.
``(2) Grants.--A recipient of a grant under this subsection
shall be eligible to receive such grants for five fiscal years.
``(3) Use of funds.--A recipient of a grant under this
subsection shall use amounts from the grant for one or more of
the following activities:
``(A) To recruit residents for medical residency
programs at community health centers from among
students who are recipients of a scholarship under the
National Health Service Corps Medical School
Scholarship Program authorized by section 338A-1.
``(B) To establish a multi-community physician
mentoring program to encourage upper level residents to
remain in the State in which the community health
center and medical residency program are located.
``(C) To enter into contracts for technical
assistance for the purpose of recruiting or retaining
primary care staff.
``(D) To enter into contracts for technical
assistance in preparing contracts with local providers
of primary health care to provide services for
medically underserved communities.
``(4) Application.--A community health center seeking a
grant under this subsection shall submit an application to the
Secretary at such time, in such manner, and containing such
information as the Secretary may require.
``(b) Grants for Primary Care Facility Capital Expenditures.--
``(1) Program authorized.--The Secretary, acting through
the Administrator, may make grants to community health centers
for the purpose of increasing primary care capabilities through
the construction, expansion, or renovation of facilities.
``(2) Grants.--A recipient of a grant under this subsection
shall be eligible to receive such grants for 5 fiscal years.
``(3) Use of funds.--A recipient of a grant under this
subsection shall use amounts from the grant for one or more of
the following activities:
``(A) To acquire or lease facilities.
``(B) To construct new facilities.
``(C) To repair or modernize existing facilities.
``(D) To purchase or lease medical equipment.
``(c) Definitions.--In this section, the following definitions
apply:
``(1) Community health center.--The term `community health
center' means a health center as defined in section 330.
``(2) Medical school.--The term `medical school' means a
school of medicine or a school of osteopathic medicine.
``SEC. 749C. AUTHORIZATION OF APPROPRIATIONS TO ASSIST COMMUNITY HEALTH
CENTERS.
``There is authorized to be appropriated $200,000,000 for fiscal
year 2007 and such sums as may be necessary for each fiscal year
thereafter to carry out sections 749A and 749B.''.
<all>
Introduced in House
Introduced in House
Referred to the House Committee on Energy and Commerce.
Referred to the Subcommittee on Health.
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