109th CONGRESS
1st Session
H. R. 1654
To provide for the establishment of demonstration programs to address
the shortages of health care professionals in rural areas, and for other purposes.
IN THE HOUSE OF REPRESENTATIVES
April 14, 2005
Miss MCMORRIS (for herself, Mr. MCDERMOTT, Mr. HASTINGS of Washington, Mr.
DICKS, Mr. SMITH of Washington, Mr. REICHERT, Mr. LARSEN of Washington, Mr.
INSLEE, Mr. BAIRD, and Mr. YOUNG of Alaska) introduced the following bill;
which was referred to the Committee on Energy and Commerce
A BILL
To provide for the establishment of demonstration programs to address
the shortages of health care professionals in rural 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 `Rural Health Training Incentive Act of 2005'.
SEC. 2. DEMONSTRATION PROGRAMS TO ENCOURAGE HEALTH PROFESSIONALS TO PRACTICE
IN RURAL AREAS.
Part B of title VII of the Public Health Service Act (42 U.S.C. 293 et seq.)
is amended by adding at the end the following:
`SEC. 742. DEMONSTRATION PROGRAMS TO ENCOURAGE HEALTH PROFESSIONALS TO PRACTICE
IN RURAL AREAS.
`(a) Authorization- The Secretary of Health and Human Services, acting through
the Director of the Office of Rural Health Policy, may award grants to 5 accredited
schools of medicine or accredited schools of nursing to enable each such school
to conduct a demonstration program to encourage more health professionals
to practice in rural areas.
`(1) IN GENERAL- Amounts provided as a grant under subsection (a) shall
be used for the following:
`(A) Developing new programs and improving existing programs for encouraging
youth in rural areas to enter health professions.
`(B) Strengthening and stabilizing the system of training of health professionals
that are needed (as determined by the Secretary) in rural areas.
`(C) Expanding the network of rural training tracks in health professions.
`(2) FAMILY MEDICINE; NURSING- Of the 5 grants awarded under this section--
`(A) at least 1 shall be for a demonstration program for physicians in
family medicine that includes a regional consortium with 3 or more family
medicine residency programs that--
`(i) each have a residency rural training program; and
`(ii) are located in 3 or more States; and
`(B) at least 1 shall be for a demonstration program for nurses, including
registered nurses, nurse anesthetists, and nurse practitioners.
`(c) Priority- In awarding grants under this section, the Secretary shall
give priority to accredited schools of medicine or nursing that--
`(1) have a residency program or clinical rotation with on-site rural training
of a duration of at least 2 months; and
`(2) provide a comprehensive approach to improving health profession shortages
in rural areas that includes recruiting students from rural areas and placing
graduates in rural communities.
`(d) Matching Requirement-
`(1) IN GENERAL- With respect to the costs of a demonstration program to
be carried out under subsection (a) by an applicant, the Secretary may not
award a grant to the applicant unless the applicant agrees to make available
(directly or through donations from public or private entities) non-Federal
contributions toward such costs in an amount that is not less than 50 percent
of such costs.
`(2) DETERMINATION OF AMOUNT CONTRIBUTED- Non-Federal contributions required
in paragraph (1) may be in cash or in kind, fairly evaluated, including
plant, equipment, or services. Amounts provided by the Federal Government,
or services assisted or subsidized to any significant extent by the Federal
Government, may not be included in determining the amount of such non-Federal
contributions.
`(e) Duration- The Secretary shall award each grant under this section for
a period of 3 years.
`(f) Definitions- For purposes of this section:
`(1) ACCREDITED- The term `accredited' means--
`(A) for a school of medicine, accredited by the Liaison Committee on
Medical Education;
`(B) for a school of nursing, accredited by the Commission on Collegiate
Nursing Education; and
`(C) for a school of nursing relative to a nurse anesthesia program, accredited
by the Council on Accreditation of Nurse Anesthesia Educational Programs.
`(2) SCHOOL OF NURSING- The term `school of nursing' has the meaning given
to that term under section 801.
`(g) Report- Not later than 6 months after the end of the 3-year period of
the demonstration programs conducted with grants under this section, the Secretary
shall submit to the Congress a report containing findings and recommendations
on the effectiveness of the demonstration programs in addressing the shortages
of health care professionals in rural areas.
`(h) Authorization of Appropriations- There is authorized to be appropriated
to carry out this section $20,000,000 for each of fiscal years 2006 through
2008.'.
END