§ 294c. Education and training relating to geriatrics

Legislative history

Reconstructed from this section’s Code source credit and amendment notes, resolved against the local Statutes at Large. Editorial notes are evidence, not the law that made the change.

1. 1944

   Health Professions Education Partnerships Act of 1998

   Pub. L. 105–392 title I § 103 · 112 Stat. 3524

   Enacted · 42 U.S.C. § 294c

   July 1, 1944, ch. 373, title VII, § 753, as added Pub. L. 105–392, title I, § 103, Nov. 13, 1998, 112 Stat. 3544

   Source evidence

   Code source credit
   July 1, 1944, ch. 373, title VII, § 753, as added Pub. L. 105–392, title I, § 103, Nov. 13, 1998, 112 Stat. 3544

   Enacted provision · exact public law section
   SEC. 103. INTERDISCIPLINARY, COMMUNITY-BASED LINKAGES Part D of title VII of the Public Health Service Act (42 U.S.C. 294 et seq.) is amended to read as follows: “PART D— INTERDISCIPLINARY, COMMUNITY-BASED LINKAGES “SEC. 750. GENERAL PROVISIONS. “(a) Collaboration.— To be eligible to receive assistance under this part, an academic institution shall use such assistance in collaboration with 2 or more disciplines. “(b) Activities.— An entity shall use assistance under this part to carry out innovative demonstration projects for strategic workforce supplementation activities as needed to meet national goals for interdisciplinary, community-based linkages. Such assistance may be used consistent with this part— “(1) to develop and support training programs; “(2) for faculty development; “(3) for model demonstration programs; “(4) for the provision of stipends for fellowship trainees; “(5) to provide technical assistance; and “(6) for other activities that will produce outcomes consistent with the purposes of this part. “SEC. 751. AREA HEALTH EDUCATION CENTERS. “(a) Authority for Provision of Financial Assistance.— “(1) Assistance for planning, development, and operation of programs.— “(A) In general.— The Secretary shall award grants Grants. Contracts. to and enter into contracts with schools of medicine and osteopathic medicine, and incorporated consortia made up of such schools, or the parent institutions of such schools, for projects for the planning, development and operation of area health education center programs that— “(i) improve the recruitment, distribution, supply, quality and efficiency of personnel providing health services in underserved rural and urban areas and personnel providing health services to populations having demonstrated serious unmet health care needs; “(ii) increase the number of primary care physicians and other primary care providers who provide services in underserved areas through the offering of an educational continuum of health career recruitment through clinical education concerning underserved areas in a comprehensive health workforce strategy; “(iii) carry out recruitment and health career awareness programs to recruit individuals from underserved areas and under-represented populations, including minority and other elementary or secondary students, into the health professions; “(iv) prepare individuals to more effectively provide health services to underserved areas or underserved populations through field placements, preceptorships, the conduct of or support of community-based primary care residency programs, and agreements with community-based organizations such as community health centers, migrant health centers, Indian health centers, public health departments and others; “(v) conduct health professions education and training activities for students of health professions schools and medical residents; “(vi) conduct at least 10 percent of medical student required clinical education at sites remote to the primary teaching facility of the contracting institution; and “(vii) provide information dissemination and educational support to reduce professional isolation, increase retention, enhance the practice environment, and improve health care through the timely dissemination of research findings using relevant resources. “(B) Other eligible entities.— With respect to a State in which no area health education center program is in operation, the Secretary may award a grant or contract under subparagraph (A) to a school of nursing. “(C) Project terms.— “(i) In general.— Except as provided in clause (ii), the period during which payments may be made under an award under subparagraph (A) may not exceed— “(I) in the case of a project, 12 years or “(II) in the case of a center within a project, 6 years. “(ii) Exception.— The periods described in clause (i) shall not apply to projects that have completed the initial period of Federal funding under this section and that desire to compete for model awards under paragraph (2)(A). “(2) Assistance for operation of model programs.— “(A) In general.— In the case of any entity described in paragraph (1)(A) that— “(i) has previously received funds under this section; “(ii) is operating an area health education center program; and “(iii) is no longer receiving financial assistance under paragraph (1); the Secretary may provide financial assistance to such entity to pay the costs of operating and carrying out the requirements of the program as described in paragraph (1). “(B) Matching requirement.— With respect to the costs of operating a model program under subparagraph (A), an entity, to be eligible for financial assistance under subparagraph (A), shall make available (directly or through contributions from State, county or municipal governments, or the private sector) recurring non-Federal contributions in cash toward such costs in an amount that is equal to not less than 50 percent of such costs. “(C) Limitation.— The aggregate amount of awards provided under subparagraph (A) to entities in a State for a fiscal year may not exceed the lesser of— “(i) $2,000,000; or “(ii) an amount equal to the product of $250,000 and the aggregate number of area health education centers operated in the State by such entities. “(b) Requirements for Centers.— “(1) General requirement.— Each area health education center that receives funds under this section shall encourage the regionalization of health professions schools through the establishment of partnerships with community-based organizations. “(2) Service area.— Each area health education center that receives funds under this section shall specifically designate a geographic area or medically underserved population to be served by the center. Such area or population shall be in a location removed from the main location of the teaching facilities of the schools participating in the program with such center. “(3) Other requirements.— Each area health education center that receives funds under this section shall— “(A) assess the health personnel needs of the area to be served by the center and assist in the planning and development of training programs to meet such needs; “(B) arrange and support rotations for students and residents in family medicine, general internal medicine or general pediatrics, with at least one center in each program being affiliated with or conducting a rotating osteopathic internship or medical residency training program in family medicine (including geriatrics), general internal medicine (including geriatrics), or general pediatrics in which no fewer than 4 individuals are enrolled in first-year positions; “(C) conduct and participate in interdisciplinary training that involves physicians and other health personnel including, where practicable, public health professionals, physician assistants, nurse practitioners, nurse midwives, and behavioral and mental health providers; and “(D) have an advisory board, at least 75 percent of the members of which shall be individuals, including both health service providers and consumers, from the area served by the center. “(c) Certain Provisions Regarding Funding.— “(1) Allocation to center.— Not less than 75 percent of the total amount of Federal funds provided to an entity under this section shall be allocated by an area health education center program to the area health education center. Such entity shall enter into an agreement with each center for purposes of specifying the allocation of such 75 percent of funds. “(2) Operating costs.— With respect to the operating costs of the area health education center program of an entity receiving funds under this section, the entity shall make available (directly or through contributions from State, county or municipal governments, or the private sector) non-Federal contributions in cash toward such costs in an amount that is equal to not less than 50 percent of such costs, except that the Secretary may grant a waiver for up to 75 percent of the amount of the required non-Federal match in the first 3 years in which an entity receives funds under this section. “SEC. 752. 42 USC 294b. HEALTH EDUCATION AND TRAINING CENTERS. “(a) In General.— To be eligible for funds under this section, a health education training center shall be an entity otherwise eligible for funds under section 751 that— “(1) addresses the persistent and severe unmet health care needs in States along the border between the United States and Mexico and in the State of Florida, and in other urban and rural areas with populations with serious unmet healthcare needs; “(2) establishes an advisory board comprised of health service providers, educators and consumers from the service area; “(3) conducts training and education programs for health professions students in these areas; “(4) conducts training in health education services, including training to prepare community health workers; and “(5) supports health professionals (including nursing) practicing in the area through educational and other services. “(b) Allocation of Funds.— The Secretary shall make available 50 percent of the amounts appropriated for each fiscal year under section 752 for the establishment or operation of health education training centers through projects in States along the border between the United States and Mexico and in the State of Florida. “SEC. 753. 42 USC 294c. EDUCATION AND TRAINING RELATING TO GERIATRICS. “(a) Geriatric Education Centers.— “(1) In general.— The Secretary shall award grants or contracts under this section to entities described in paragraphs(1), (3), or (4) of section 799B, and section 853(2), for the establishment or operation of geriatric education centers. “(2) Requirements.— A geriatric education center is a program that— “(A) improves the training of health professionals in geriatrics, including geriatric residencies, traineeships, or fellowships; “(B) develops and disseminates curricula relating to the treatment of the health problems of elderly individuals; “(C) supports the training and retraining of faculty to provide instruction in geriatrics; “(D) supports continuing education of health professionals who provide geriatric care; and “(E) provides students with clinical training in geriatrics in nursing homes, chronic and acute disease hospitals, ambulatory care centers, and senior centers. “(b) Geriatric Training Regarding Physicians and Dentists.— “(1) In general.— The Secretary may make grants to, and enter into contracts with, schools of medicine, schools of osteopathic medicine, teaching hospitals, and graduate medical education programs, for the purpose of providing support (including residencies, traineeships, and fellowships) for geriatric training projects to train physicians, dentists and behavioral and mental health professionals who plan to teach geriatric medicine, geriatric behavioral or mental health, or geriatric dentistry. “(2) Requirements.— Each project for which a grant or contract is made under this subsection shall— “(A) be staffed by full-time teaching physicians who have experience or training in geriatric medicine or geriatric behavioral or mental health; “(B) be staffed, or enter into an agreement with an institution staffed by full-time or part-time teaching dentists who have experience or training in geriatric dentistry; “(C) be staffed, or enter into an agreement with an institution staffed by full-time or part-time teaching behavioral mental health professionals who have experience or training in geriatric behavioral or mental health; “(D) be based in a graduate medical education program in internal medicine or family medicine or in a department of geriatrics or behavioral or mental health; “(E) provide training in geriatrics and exposure to the physical and mental disabilities of elderly individuals through a variety of service rotations, such as geriatric consultation services, acute care services, dental services, geriatric behavioral or mental health units, day and home care programs, rehabilitation services, extended care facilities, geriatric ambulatory care and comprehensive evaluation units, and community care programs for elderly mentally retarded individuals; and “(F) provide training in geriatrics through one or both of the training options described in subparagraphs (A) and (B) of paragraph (3). “(3) Training options.— The training options referred to in subparagraph (F) of paragraph (2) shall be as follows: “(A) A 1-year retraining program in geriatrics for— “(i) physicians who are faculty members in departments of internal medicine, family medicine, gynecology, geriatrics, and behavioral or mental health at schools of medicine and osteopathic medicine; “(ii) dentists who are faculty members at schools of dentistry or at hospital departments of dentistry; and “(iii) behavioral or mental health professionals who are faculty members in departments of behavioral or mental health; and “(B) A 2-year internal medicine or family medicine fellowship program providing emphasis in geriatrics, which shall be designed to provide training in clinical geriatrics and geriatrics research for— “(i) physicians who have completed graduate medical education programs in internal medicine, family medicine, behavioral or mental health, neurology, gynecology, or rehabilitation medicine; “(ii) dentists who have demonstrated a commitment to an academic career and who have completed post-doctoral dental training, including post-doctoral dental education programs or who have relevant advanced training or experience; and “(iii) behavioral or mental health professionals who have completed graduate medical education programs in behavioral or mental health. “(4) Definitions.— For purposes of this subsection: “(A) The term ‘graduate medical education program’ means a program sponsored by a school of medicine, a school of osteopathic medicine, a hospital, or a public or private institution that— “(i) offers post graduate medical training in the specialties and subspecialties of medicine; and “(ii) has been accredited by the Accreditation Council for Graduate Medical Education or the American Osteopathic Association through its Committee on Postdoctoral Training. “(B) The term ‘post-doctoral dental education program’ means a program sponsored by a school of dentistry, a hospital, or a public or private institution that— “(i) offers post-doctoral training in the specialties of dentistry, advanced education in general dentistry, or a dental general practice residency; and “(ii) has been accredited by the Commission on Dental Accreditation. “(c) Geriatric Faculty Fellowships.— “(1) Establishment of program.— The Secretary shall establish a program to provide Geriatric Academic Career Awards to eligible individuals to promote the career development of such individuals as academic geriatricians. “(2) Eligible individuals.— To be eligible to receive an Award under paragraph (1), an individual shall— “(A) be board certified or board eligible in internal medicine, family practice, or psychiatry; “(B) have completed an approved fellowship program in geriatrics; and “(C) have a junior faculty appointment at an accredited (as determined by the Secretary) school of medicine or osteopathic medicine. “(3) Limitations.— No Award under paragraph (1) may be made to an eligible individual unless the individual— “(A) has submitted to the Secretary an application, at such time, in such manner, and containing such information as the Secretary may require, and the Secretary has approved such application; and “(B) provides, in such form and manner as the Secretary may require, assurances that the individual will meet the service requirement described in subsection (e). “(4) Amount and term.— “(A) Amount.— The amount of an Award under this section shall equal $50,000 for fiscal year 1998, adjusted for subsequent fiscal years to reflect the increase in the Consumer Price Index. “(B) Term.— The term of any Award made under this subsection shall not exceed 5 years. “(5) Service requirement.— An individual who receives an Award under this subsection shall provide training in clinical geriatrics, including the training of interdisciplinary teams of health care professionals. The provision of such training shall constitute at least 75 percent of the obligations of such individual under the Award. “SEC. 754. QUENTIN N. BURDICK PROGRAM FOR RURAL. INTERDISCIPLINARY TRAINING. “(a) Grants.— The Secretary may make grants or contracts under this section to help entities fund authorized activities under an application approved under subsection (c). “(b) Use of Amounts.— “(1) In general.— Amounts provided under subsection (a) shall be used by the recipients to fund interdisciplinary training projects designed to— “(A) use new and innovative methods to train health care practitioners to provide services in rural areas; “(B) demonstrate and evaluate innovative interdisciplinary methods and models designed to provide access to cost-effective comprehensive health care; “(C) deliver health care services to individuals residing in rural areas; “(D) enhance the amount of relevant research conducted concerning health care issues in rural areas; and “(E) increase the recruitment and retention of health care practitioners from rural areas and make rural practice a more attractive career choice for health care practitioners. “(2) Methods.— A recipient of funds under subsection (a) may use various methods in carrying out the projects described in paragraph (1), including— “(A) the distribution of stipends to students of eligible applicants; “(B) the establishment of a post-doctoral fellowship program; “(C) the training of faculty in the economic and logistical problems confronting rural health care delivery systems; or “(D) the purchase or rental of transportation and telecommunication equipment where the need for such equipment due to unique characteristics of the rural area is demonstrated by the recipient. “(3) Administration.— “(A) In general.— An applicant shall not use more than 10 percent of the funds made available to such applicant under subsection (a) for administrative expenses. “(B) Training.— Not more than 10 percent of the individuals receiving training with funds made available to an applicant under subsection (a) shall be trained as doctors of medicine or doctors of osteopathy. “(C) Limitation.— An institution that receives a grant under this section shall use amounts received under such grant to supplement, not supplant, amounts made available by such institution for activities of the type described in subsection (b)(1) in the fiscal year preceding the year for which the grant is received. “(c) Applications.— Applications submitted for assistance under this section shall— “(1) be jointly submitted by at least two eligible applicants with the express purpose of assisting individuals in academic institutions in establishing long-term collaborative relationships with health care providers in rural areas; and “(2) designate a rural health care agency or agencies for clinical treatment or training, including hospitals, community health centers, migrant health centers, rural health clinics, community behavioral and mental health centers, long-term care facilities, Native Hawaiian health centers, or facilities operated by the Indian Health Service or an Indian tribe or tribal organization or Indian organization under a contract with the Indian Health Service under the Indian Self-Determination Act. “(d) Definitions.— For the purposes of this section, the term ‘rural’ means geographic areas that are located outside of standard metropolitan statistical areas. “SEC. 755. 42 USC 294e. ALLIED HEALTH AND OTHER DISCIPLINES. “(a) In General.— The Secretary may make grants or contracts under this section to help entities fund activities of the type described in subsection (b). “(b) Activities.— Activities of the type described in this subsection include the following: “(1) Assisting entities in meeting the costs associated with expanding or establishing programs that will increase the number of individuals trained in allied health professions. Programs and activities funded under this paragraph may include— “(A) those that expand enrollments in allied health professions with the greatest shortages or whose services are most needed by the elderly; “(B) those that provide rapid transition training programs in allied health fields to individuals who have baccalaureate degrees in health-related sciences; “(C) those that establish community-based allied health training programs that link academic centers to rural clinical settings; “(D) those that provide career advancement training for practicing allied health professionals; “(E) those that expand or establish clinical training sites for allied health professionals in medically underserved or rural communities in order to increase the number of individuals trained; “(F) those that develop curriculum that will emphasize knowledge and practice in the areas of prevention and health promotion, geriatrics, long-term care, home health and hospice care, and ethics; “(G) those that expand or establish interdisciplinary training programs that promote the effectiveness of allied health practitioners in geriatric assessment and the rehabilitation of the elderly; “(H) those that expand or establish demonstration centers to emphasize innovative models to link allied health clinical practice, education, and research; “(I) those that provide financial assistance (in the form of traineeships) to students who are participants in any such program; and “(i) who plan to pursue a career in an allied health field that has a demonstrated personnel shortage; and “(ii) who agree upon completion of the training program to practice in a medically underserved community; that shall be utilized to assist in the payment of all or part of the costs associated with tuition, fees and such other stipends as the Secretary may consider necessary; and “(J) those to meet the costs of projects to plan, develop, and operate or maintain graduate programs in behavioral and mental health practice. “(2) Planning and implementing projects in preventive and primary care training for podiatric physicians in approved or provisionally approved residency programs that shall provide financial assistance in the form of traineeships to residents who participate in such projects and who plan to specialize in primary care. “(3) Carrying out demonstration projects in which chiropractors and physicians collaborate to identify and provide effective treatment for spinal and lower-back conditions. “SEC. 756. ADVISORY COMMITTEE ON INTERDISCIPLINARY, COMMUNITY-BASED LINKAGES. “(a) Establishment.— The Secretary shall establish an advisory committee to be known as the Advisory Committee on Interdisciplinary, Community-Based Linkages (in this section referred to as the ‘Advisory Committee’). “(b) Composition.— “(1) In general.— The Secretary shall determine the appropriate number of individuals to serve on the Advisory Committee. Such individuals shall not be officers or employees of the Federal Government. “(2) Appointment.— Not later than 90 days after the date Deadline. of enactment of this Act, the Secretary shall appoint the members of the Advisory Committee from among individuals who are health professionals from schools of the types described in sections 751(a)(1)(A), 751(a)(1)(B), 753(b), 754(3)(A), and 755(b). In making such appointments, the Secretary shall ensure a fair balance between the health professions, that at least 75 percent of the members of the Advisory Committee are health professionals, a broad geographic representation of members and a balance between urban and rural members. Members shall be appointed based on their competence, interest, and knowledge of the mission of the profession involved. “(3) Minority representation.— In appointing the members of the Advisory Committee under paragraph (2), the Secretary shall ensure the adequate representation of women and minorities. “(c) Terms.— “(1) In general.— A member of the Advisory Committee shall be appointed for a term of 3 years, except that of the members first appointed— “(A) ⅓ of the members shall serve for a term of 1 year; “(B) ⅓ of the members shall serve for a term of 2 years; and “(C) ⅓ of the members shall serve for a term of 3 years. “(2) Vacancies.— “(A) In general.— A vacancy on the Advisory Committee shall be filled in the manner in which the original appointment was made and shall be subject to any conditions which applied with respect to the original appointment. “(B) Filling unexpired term.— An individual chosen to fill a vacancy shall be appointed for the unexpired term of the member replaced. “(d) Duties.— The Advisory Committee shall— “(1) provide advice and recommendations to the Secretary concerning policy and program development and other matters of significance concerning the activities under this part; and “(2) not later than 3 years after the date of enactment of this section, and annually thereafter, prepare and submit to the Secretary, and the Committee on Labor and Human Resources of the Senate, and the Committee on Commerce of the House of Representatives, a report describing the activities of the Committee, including findings and recommendations made by the Committee concerning the activities under this part. “(e) Meetings and Documents.— “(1) Meetings.— The Advisory Committee shall meet not less than 3 times each year. Such meetings shall be held jointly with other related entities established under this title where appropriate. “(2) Deadlines. Documents.— Not later than 14 days prior to the convening of a meeting under paragraph (1), the Advisory Committee shall prepare and make available an agenda of the matters to be considered by the Advisory Committee at such meeting. At any such meeting, the Advisory Council shall distribute materials with respect to the issues to be addressed Deadline. at the meeting. Not later than 30 days after the adjourning of such a meeting, the Advisory Committee shall prepare and make available a summary of the meeting and any actions taken by the Committee based upon the meeting. “(f) Compensation and Expenses.— “(1) Compensation.— Each member of the Advisory Committee shall be compensated at a rate equal to the daily equivalent of the annual rate of basic pay prescribed for level IV of the Executive Schedule under section 5315 of title 5, United States Code, for each day (including travel time) during which such member is engaged in the performance of the duties of the Committee. “(2) Expenses.— The members of the Advisory Committee shall be allowed travel expenses, including per diem in lieu of subsistence, at rates authorized for employees of agencies under subchapter I of chapter 57 of title 5, United States Code, while away from their homes or regular places of business in the performance of services for the Committee. “(g) FACA.— The Federal Advisory Committee Act shall apply to the Advisory Committee under this section only to the extent that the provisions of such Act do not conflict with the requirements of this section. “SEC. 757. AUTHORIZATION OF APPROPRIATIONS. “(a) In General.— There are authorized to be appropriated to carry out this part, $55,600,000 for fiscal year 1998, and such sums as may be necessary for each of the fiscal years 1999 through 2002. “(b) Allocation.— “(1) In general.— Of the amounts appropriated under subsection (a) for a fiscal year, the Secretary shall make available— “(A) not less than $28,587,000 for awards of grants and contracts under section 751; “(B) not less than $3,765,000 for awards of grants and contracts under section 752, of which not less than 50 percent of such amount shall be made available for centers described in subsection (a)(1) of such section; and “(C) not less than $22,631,000 for awards of grants and contracts under sections 753, 754, and 755. “(2) Ratable reduction.— If amounts appropriated under subsection (a) for any fiscal year are less than the amount required to comply with paragraph (1), the Secretary shall ratably reduce the amount to be made available under each of subparagraphs (A) through (C) of such paragraph accordingly. “(3) Increase in amounts.— If amounts appropriated for a fiscal year under subsection (a) exceed the amount authorized under such subsection for such fiscal year, the Secretary may increase the amount to be made available for programs and activities under this part without regard to the amounts specified in each of subparagraphs (A) through (C) of paragraph(2). “(c) Obligation of Certain Amounts.— “(1) Area health education center programs.— Of the amounts made available under subsection (b)(1)(A) for each fiscal year, the Secretary may obligate for awards under section 751(a)(2)— “(A) not less than 23 percent of such amounts in fiscal year 1998; “(B) not less than 30 percent of such amounts in fiscal year 1999; “(C) not less than 35 percent of such amounts in fiscal year 2000; “(D) not less than 40 percent of such amounts in fiscal year 2001; and “(E) not less than 45 percent of such amounts in fiscal year 2002. “(2) Sense of congress.— It is the sense of the Congress that— “(A) every State have an area health education center program in effect under this section; and “(B) the ratio of Federal funding for the model program under section 751(a)(2) should increase over time and that Federal funding for other awards under this section shall decrease so that the national program will become entirely comprised of programs that are funded at least 50 percent by State and local partners.”.

2. 2002

   Nurse Reinvestment Act

   Pub. L. 107–205 title II § 202(b) · 116 Stat. 811

   Substituted · 42 U.S.C. § 294c(a)(1)

   Pub. L. 107–205 substituted “, and section 296(2) of this title,” for “, and section 298b(2) of this title,”

   Source evidence

   Code amendment note
   Subsec. (a)(1). Pub. L. 107–205 substituted “, and section 296(2) of this title,” for “, and section 298b(2) of this title,”.

   Enacted provision · exact public law section
   (b) Technical Amendment.— Section 753(a)(1) of the Public Health Service Act (42 U.S.C. 294c) is amended by striking “, and section 853(2),” and inserting “, and section 801(2), .

3. 2010

   Patient Protection and Affordable Care Act

   Pub. L. 111–148 § 5305(b)(2) · 124 Stat. 119

   1. Added · 42 U.S.C. § 294c(c)(2)(4)

      Pub. L. 111–148, § 5305(b)(2), added pars. (2) to (4)

   2. Redesignated · 42 U.S.C. § 294c(c)(2)(4)

      Pub. L. 111–148, § 5305(b)(2), struck out former pars. (2) and (3) which described eligible individuals and limitations for Geriatric Academic Career Awards. Former par. (4) redesignated (5)

   Source evidence

   Code amendment note
   Subsec. (c)(2) to (4). Pub. L. 111–148, § 5305(b)(2), added pars. (2) to (4) and struck out former pars. (2) and (3) which described eligible individuals and limitations for Geriatric Academic Career Awards. Former par. (4) redesignated (5).

   Enacted provision · exact public law section
   (2) by striking paragraph (2) through paragraph (3) and inserting the following: “(2) Eligible individuals.— To be eligible to receive an Award under paragraph (1), an individual shall— “(A) be board certified or board eligible in internal medicine, family practice, psychiatry, or licensed dentistry, or have completed any required training in a discipline and employed in an accredited health professions school that is approved by the Secretary; “(B) have completed an approved fellowship program in geriatrics or have completed specialty training in geriatrics as required by the discipline and any addition geriatrics training as required by the Secretary; and “(C) have a junior (non-tenured) faculty appointment at an accredited (as determined by the Secretary) school of medicine, osteopathic medicine, nursing, social work, psychology, dentistry, pharmacy, or other allied health disciplines in an accredited health professions school that is approved by the Secretary. “(3) Limitations.— No Award under paragraph (1) may be made to an eligible individual unless the individual— “(A) has submitted to the Secretary an application, at such time, in such manner, and containing such information as the Secretary may require, and the Secretary has approved such application; “(B) provides, in such form and manner as the Secretary may require, assurances that the individual will meet the service requirement described in paragraph (6); and “(C) provides, in such form and manner as the Secretary may require, assurances that the individual has a full-time faculty appointment in a health professions institution and documented commitment from such institution to spend 75 percent of the total time of such individual on teaching and developing skills in interdisciplinary education in geriatrics. “(4) Maintenance of effort.— An eligible individual that receives an Award under paragraph (1) shall provide assurances to the Secretary that funds provided to the eligible individual under this subsection will be used only to supplement, not to supplant, the amount of Federal, State, and local funds otherwise expended by the eligible individual.” ; and

4. 2010

   Patient Protection and Affordable Care Act

   Pub. L. 111–148 § 5305(b)(1) · 124 Stat. 119

   Redesignated · 42 U.S.C. § 294c(c)(5)

   Pub. L. 111–148, § 5305(b)(1), redesignated par. (4) as (5). Former par. (5) redesignated (6)

   Source evidence

   Code amendment note
   Subsec. (c)(5). Pub. L. 111–148, § 5305(b)(1), redesignated par. (4) as (5). Former par. (5) redesignated (6).

   Enacted provision · exact public law section
   (1) by redesignating paragraphs (4) and (5) as paragraphs (5) and (6), respectively;

5. 2010

   Patient Protection and Affordable Care Act

   Pub. L. 111–148 § 5305(b)(3)(A) · 124 Stat. 119

   1. Inserted · 42 U.S.C. § 294c(c)(5)(A)

      Pub. L. 111–148, § 5305(b)(3)(A), inserted “for individuals who are physicians” before “shall equal”

   2. Inserted · 42 U.S.C. § 294c(c)(5)(A)

      Pub. L. 111–148, § 5305(b)(3)(A), inserted at end “The Secretary shall determine the amount of an Award under this section for individuals who are not physicians.”

   Source evidence

   Code amendment note
   Subsec. (c)(5)(A). Pub. L. 111–148, § 5305(b)(3)(A), inserted “for individuals who are physicians” before “shall equal” and inserted at end “The Secretary shall determine the amount of an Award under this section for individuals who are not physicians.”

   Enacted provision · exact public law section
   (A) in subparagraph (A)— (i) by inserting “for individuals who are physicians” after “this section”; and (ii) Determination. by inserting after the period at the end the following: “The Secretary shall determine the amount of an Award under this section for individuals who are not physicians.”; and

6. 2010

   Patient Protection and Affordable Care Act

   Pub. L. 111–148 § 5305(b)(3)(B) · 124 Stat. 119

   Added · 42 U.S.C. § 294c(c)(5)(C)

   Pub. L. 111–148, § 5305(b)(3)(B), added subpar. (C)

   Source evidence

   Code amendment note
   Subsec. (c)(5)(C). Pub. L. 111–148, § 5305(b)(3)(B), added subpar. (C).

   Enacted provision · exact public law section
   (B) by adding at the end the following: “(C) Payment to institution.— The Secretary shall make payments to institutions which include schools of medicine, osteopathic medicine, nursing, social work, psychology, dentistry, and pharmacy, or other allied health discipline in an accredited health professions school that is approved by the Secretary.” .

7. 2010

   Patient Protection and Affordable Care Act

   Pub. L. 111–148 § 5305(b)(1) · 124 Stat. 119

   Redesignated · 42 U.S.C. § 294c(c)(6)

   Pub. L. 111–148, § 5305(b)(1), redesignated par. (5) as (6)

   Source evidence

   Code amendment note
   Subsec. (c)(6). Pub. L. 111–148, § 5305(b)(1), redesignated par. (5) as (6).

   Enacted provision · exact public law section
   (1) by redesignating paragraphs (4) and (5) as paragraphs (5) and (6), respectively;

8. 2010

   Patient Protection and Affordable Care Act

   Pub. L. 111–148 § 5305(a) · 124 Stat. 119

   Added · 42 U.S.C. § 294c(d); 42 U.S.C. § 294c(e)

   Pub. L. 111–148, § 5305(a), added subsecs. (d) and (e)

   Source evidence

   Code amendment note
   Subsecs. (d), (e). Pub. L. 111–148, § 5305(a), added subsecs. (d) and (e).

   Enacted provision · exact public law section
   (a) Workforce Development; Career Awards.— Section 753 of the Public Health Service Act (42 U.S.C. 294c) is amended by adding at the end the following: “(d) Geriatric Workforce Development.— “(1) In general.—The Secretary shall award grants or contracts under this subsection to entities that operate a geriatric education center pursuant to subsection (a)(1). “(2) Application.— To be eligible for an award under paragraph (1), an entity described in such paragraph shall submit to the Secretary an application at such time, in such manner, and containing such information as the Secretary may require. “(3) Use of funds.— Amounts awarded under a grant or contract under paragraph (1) shall be used to— “(A) carry out the fellowship program described in paragraph (4); and “(B) carry out 1 of the 2 activities described in paragraph (5). “(4) Fellowship program.— “(A) In general.— Pursuant to paragraph (3), a geriatric education center that receives an award under this subsection shall use such funds to offer short-term intensive courses (referred to in this subsection as a ‘fellowship’) that focus on geriatrics, chronic care management, and long-term care that provide supplemental training for faculty members in medical schools and other health professions schools with programs in psychology, pharmacy, nursing, social work, dentistry, public health, allied health, or other health disciplines, as approved by the Secretary. Such a fellowship shall be open to current faculty, and appropriately credentialed volunteer faculty and practitioners, who do not have formal training in geriatrics, to upgrade their knowledge and clinical skills for the care of older adults and adults with functional limitations and to enhance their interdisciplinary teaching skills. “(B) Location.— A fellowship shall be offered either at the geriatric education center that is sponsoring the course, in collaboration with other geriatric education centers, or at medical schools, schools of dentistry, schools of nursing, schools of pharmacy, schools of social work, graduate programs in psychology, or allied health and other health professions schools approved by the Secretary with which the geriatric education centers are affiliated. “(C) CME credit.— Participation in a fellowship under this paragraph shall be accepted with respect to complying with continuing health profession education requirements. As a condition of such acceptance, the recipient shall agree to subsequently provide a minimum of 18 hours of voluntary instructional support through a geriatric education center that is providing clinical training to students or trainees in long-term care settings. “(5) Additional required activities described.— Pursuant to paragraph (3), a geriatric education center that receives an award under this subsection shall use such funds to carry out 1 of the following 2 activities. “(A) Family caregiver and direct care provider training.— A geriatric education center that receives an award under this subsection shall offer at least 2 courses each year, at no charge or nominal cost, to family caregivers and direct care providers that are designed to provide practical training for supporting frail elders and individuals with disabilities. Requirements. The Secretary shall require such Centers to work with appropriate community partners to develop training program content and to publicize the availability of training courses in their service areas. All family caregiver and direct care provider training programs shall include instruction on the management of psychological and behavioral aspects of dementia, communication techniques for working with individuals who have dementia, and the appropriate, safe, and effective use of medications for older adults. “(B) Incorporation of best practices.— A geriatric education center that receives an award under this subsection shall develop and include material on depression and other mental disorders common among older adults, medication safety issues for older adults, and management of the psychological and behavioral aspects of dementia and communication techniques with individuals who have dementia in all training courses, where appropriate. “(6) Targets.— A geriatric education center that receives an award under this subsection shall meet targets approved by the Secretary for providing geriatric training to a certain number of faculty or practitioners during the term of the award, as well as other parameters established by the Secretary. “(7) Amount of award.— An award under this subsection shall be in an amount of $150,000. Not more than 24 geriatric education centers may receive an award under this subsection. “(8) Maintenance of effort.— A geriatric education center that receives an award under this subsection shall provide assurances to the Secretary that funds provided to the geriatric education center under this subsection will be used only to supplement, not to supplant, the amount of Federal, State, and local funds otherwise expended by the geriatric education center. “(9) Authorization of appropriations.— In addition to any other funding available to carry out this section, there is authorized to be appropriated to carry out this subsection, $10,800,000 for the period of fiscal year 2011 through 2014. “(e) Geriatric Career Incentive Awards.— “(1) In general.—The Secretary shall award grants or contracts under this section to individuals described in paragraph (2) to foster greater interest among a variety of health professionals in entering the field of geriatrics, long-term care, and chronic care management. “(2) Eligible individuals.— To be eligible to received an award under paragraph (1), an individual shall— “(A) be an advanced practice nurse, a clinical social worker, a pharmacist, or student of psychology who is pursuing a doctorate or other advanced degree in geriatrics or related fields in an accredited health professions school; and “(B) submit to the Secretary an application at such time, in such manner, and containing such information as the Secretary may require. “(3) Condition of award.— As a condition of receiving an award under this subsection, an individual shall agree that, following completion of the award period, the individual will teach or practice in the field of geriatrics, long-term care, or chronic care management for a minimum of 5 years under guidelines set by the Secretary. “(4) Authorization of appropriations.— There is authorized to be appropriated to carry out this subsection, $10,000,000 for the period of fiscal years 2011 through 2013.” .

9. 2010

   Rosa’s Law

   Pub. L. 111–256 § 2(f)(5) · 124 Stat. 2643

   Substituted · 42 U.S.C. § 294c(b)(2)(E)

   Pub. L. 111–256 substituted “elderly individuals with intellectual disabilities” for “elderly mentally retarded individuals”

   Source evidence

   Code amendment note
   Subsec. (b)(2)(E). Pub. L. 111–256 substituted “elderly individuals with intellectual disabilities” for “elderly mentally retarded individuals”.

   Enacted provision · exact public law section
   (5) Section 753(b)(2)(E) of such Act (42 U.S.C. 294c(b)(2)(E)) is amended by striking “elderly mentally retarded individuals” and inserting “elderly individuals with intellectual disabilities”.

10. 2020

    Coronavirus Aid, Relief, and Economic Security Act

    Pub. L. 116–136 div. A title III § 3403 · 134 Stat. 281

    Amended · 42 U.S.C. § 294c

    Pub. L. 116–136 amended section generally. Prior to amendment, section consisted of subsecs. (a) to (e) which related to geriatric education centers, geriatric training regarding physicians and dentists, geriatric faculty fellowships, geriatric workforce development, and geriatric career incentive awards, respectively

    Source evidence

    Code amendment note
    Pub. L. 116–136 amended section generally. Prior to amendment, section consisted of subsecs. (a) to (e) which related to geriatric education centers, geriatric training regarding physicians and dentists, geriatric faculty fellowships, geriatric workforce development, and geriatric career incentive awards, respectively.

    Enacted provision · exact public law section
    SEC. 3403. EDUCATION AND TRAINING RELATING TO GERIATRICS.   Section 753 of the Public Health Service Act (42 U.S.C. 294c) is amended to read as follows: “SEC. 753. EDUCATION AND TRAINING RELATING TO GERIATRICS. “(a) Geriatrics Workforce Enhancement Program.— “(1) In general.— The Secretary shall award grants, contracts, or cooperative agreements under this subsection to entities described in paragraph (1), (3), or (4) of section 799B, section 801(2), or section 865(d), or other health professions schools or programs approved by the Secretary, for the establishment or operation of Geriatrics Workforce Enhancement Programs that meet the requirements of paragraph (2). “(2) Requirements.— “(A) In general.— A Geriatrics Workforce Enhancement Program receiving an award under this section shall support the training of health professionals in geriatrics, including traineeships or fellowships. Such programs shall emphasize, as appropriate, patient and family engagement, integration of geriatrics with primary care and other appropriate specialties, and collaboration with community partners to address gaps in health care for older adults. “(B) Activities.— Activities conducted by a program under this section may include the following: “(i) Clinical training on providing integrated geriatrics and primary care delivery services. “(ii) Interprofessional training to practitioners from multiple disciplines and specialties, including training on the provision of care to older adults. “(iii) Establishing or maintaining training-related community-based programs for older adults and caregivers to improve health outcomes for older adults. “(iv) Providing education on Alzheimer’s disease and related dementias to families and caregivers of older adults, direct care workers, and health professions students, faculty, and providers. “(3) Duration.— Each grant, contract, or cooperative agreement or contract awarded under paragraph (1) shall be for a period not to exceed 5 years. “(4) Applications.— To be eligible to receive a grant, contract, or cooperative agreement under paragraph (1), an entity described in such paragraph shall submit to the Secretary an application at such time, in such manner, and containing such information as the Secretary may require. “(5) Program requirements.— “(A) In general.— In awarding grants, contracts, and cooperative agreements under paragraph (1), the Secretary— “(i) shall give priority to programs that demonstrate coordination with another Federal or State program or another public or private entity; “(ii) shall give priority to applicants with programs or activities that are expected to substantially benefit rural or medically underserved populations of older adults, or serve older adults in Indian Tribes or Tribal organizations; and “(iii) may give priority to any program that— “(I) integrates geriatrics into primary care practice; “(II) provides training to integrate geriatric care into other specialties across care settings, including practicing clinical specialists, health care administrators, faculty without backgrounds in geriatrics, and students from all health professions; “(III) emphasizes integration of geriatric care into existing service delivery locations and care across settings, including primary care clinics, medical homes, Federally qualified health centers, ambulatory care clinics, critical access hospitals, emergency care, assisted living and nursing facilities, and home- and community-based services, which may include adult daycare; “(IV) supports the training and retraining of faculty, primary care providers, other direct care providers, and other appropriate professionals on geriatrics; “(V) emphasizes education and engagement of family caregivers on disease management and strategies to meet the needs of caregivers of older adults; or “(VI) proposes to conduct outreach to communities that have a shortage of geriatric workforce professionals. “(B) Special consideration.— In awarding grants, contracts, and cooperative agreements under this section, the Secretary shall give special consideration to entities that provide services in areas with a shortage of geriatric workforce professionals. “(6) Priority.— The Secretary may provide awardees with additional support for activities in areas of demonstrated need, which may include education and training for home health workers, family caregivers, and direct care workers on care for older adults. “(7) Reporting.— “(A) Reports from entities.— Each entity awarded a grant, contract, or cooperative agreement under this section shall submit an annual report to the Secretary on the activities conducted under such grant, contract, or cooperative agreement, which may include information on the number of trainees, the number of professions and disciplines, the number of partnerships with health care delivery sites, the number of faculty and practicing professionals who participated in such programs, and other information, as the Secretary may require. “(B) Report to congress.— Not later than 4 years after the date of enactment of the Title VII Health Care Workforce Reauthorization Act of 2019 and every 5 years thereafter, the Secretary shall submit to the Committee on Health, Education, Labor, and Pensions of the Senate and the Committee on Energy and Commerce of the House of Representatives a report that provides a summary of the activities and outcomes associated with grants, contracts, and cooperative agreements made under this section. Such reports shall include— “(i) information on the number of trainees, faculty, and professionals who participated in programs under this section; “(ii) information on the impact of the program conducted under this section on the health status of older adults, including in areas with a shortage of health professionals; and “(iii) information on outreach and education provided under this section to families and caregivers of older adults. “(C) Public availability.— The Secretary shall make reports submitted under paragraph (B) publically available on the internet website of the Department of Health and Human Services. “(b) Geriatric Academic Career Awards.— “(1) Establishment of program.— The Secretary shall, as appropriate, establish or maintain a program to provide geriatric academic career awards to eligible entities applying on behalf of eligible individuals to promote the career development of such individuals as academic geriatricians or other academic geriatrics health professionals. “(2) Eligibility.— “(A) Eligible entity.— For purposes of this subsection, the term ‘eligible entity’ means— “(i) an entity described in paragraph (1), (3), or (4) of section 799B or section 801(2); or “(ii) another accredited health professions school or graduate program approved by the Secretary. “(B) Eligible individual.— For purposes of this subsection, the term ‘eligible individual’ means an individual who— “(i) (I) is board certified or board eligible in internal medicine, family practice, psychiatry, or licensed dentistry, or has completed required training in a discipline and is employed in an accredited health professions school or graduate program that is approved by the Secretary; or “(II) has completed an approved fellowship program in geriatrics, or has completed specialty training in geriatrics as required by the discipline and any additional geriatrics training as required by the Secretary; and “(ii) has a junior, nontenured, faculty appointment at an accredited health professions school or graduate program in geriatrics or a geriatrics health profession. “(C) Clarification.— If an eligible individual is promoted during the period of an award under this subsection and thereby no longer meets the criteria of subparagraph (B)(ii), the individual shall continue to be treated as an eligible individual through the term of the award. “(3) Application requirements.— In order to receive an award under paragraph (1), an eligible entity, on behalf of an eligible individual, shall— “(A) submit to the Secretary an application, at such time, in such manner, and containing such information as the Secretary may require; “(B) provide, in such form and manner as the Secretary may require, assurances that the eligible individual will meet the service requirement described in paragraph (6); and “(C) provide, in such form and manner as the Secretary may require, assurances that the individual has a full-time faculty appointment in a health professions institution and documented commitment from such eligible entity that the individual will spend 75 percent of the individual’s time that is supported by the award on teaching and developing skills in interdisciplinary education in geriatrics. “(4) Equitable distribution.— In making awards under this subsection, the Secretary shall seek to ensure geographical distribution among award recipients, including among rural or medically underserved areas of the United States. “(5) Amount and duration.— “(A) Amount.— The amount of an award under this subsection shall be at least $75,000 for fiscal year 2021, adjusted for subsequent years in accordance with the consumer price index. Determination. The Secretary shall determine the amount of an award under this subsection for individuals who are not physicians. “(B) Duration.— The Secretary shall make awards under paragraph (1) for a period not to exceed 5 years. “(6) Service requirement.— An individual who receives an award under this subsection shall provide training in clinical geriatrics, including the training of interprofessional teams of health care professionals. The provision of such training shall constitute at least 75 percent of the obligations of such individual under the award. “(c) Nonapplicability of Provision.— Notwithstanding any other provision of this title, section 791(a) shall not apply to awards made under this section. “(d) Authorization of Appropriations.— There is authorized to be appropriated $40,737,000 for each of fiscal years 2021 through 2025 for purposes of carrying out this section.” .

    Effective date note
    Pub. L. 116–260, div. BB, title III, § 331(d), Dec. 27, 2020, 134 Stat. 2938, provided that: “The amendments made by subsections (a), (b), and (c) [amending this section and sections 297n–1 and 297t of this title] shall take effect as if included in the enactment of the Coronavirus Aid, Relief, and Economic Security Act (Public Law 116–136).”

11. 2020

    Economic Aid to Hard-Hit Small Businesses, Nonprofits, and Venues Act

    Pub. L. 116–260 div. BB title III § 331(a) · 134 Stat. 1182

    Substituted · 42 U.S.C. § 294c(a)(7)(B)

    Pub. L. 116–260, in introductory provisions, substituted “Coronavirus Aid, Relief, and Economic Security Act” for “Title VII Health Care Workforce Reauthorization Act of 2019” in the original, and accordingly, “the date of enactment of the Coronavirus Aid, Relief, and Economic Security Act” was translated to “March 27, 2020”. The Coronavirus Aid, Relief, and Economic Security Act, Pub. L. 116–136, was approved Mar. 27, 2020

    Source evidence

    Code amendment note
    Subsec. (a)(7)(B). Pub. L. 116–260, in introductory provisions, substituted “Coronavirus Aid, Relief, and Economic Security Act” for “Title VII Health Care Workforce Reauthorization Act of 2019” in the original, and accordingly, “the date of enactment of the Coronavirus Aid, Relief, and Economic Security Act” was translated to “March 27, 2020”. The Coronavirus Aid, Relief, and Economic Security Act, Pub. L. 116–136, was approved Mar. 27, 2020.

    Enacted provision · exact public law section
    (a) Definitions.— In this section: (1) Agricultural enterprise.— The term “agricultural enterprise” has the meaning given the term in section 18(b) of the Small Business Act (15 U.S.C. 647(b)). (2) Covered entity.— The term “covered entity”— (A) means an eligible entity that— (i) applies for a loan under section 7(b)(2) of the Small Business Act (15 U.S.C. 636(b)(2)) during the covered period, including before the date of enactment of this Act; (ii) is located in a low-income community; (iii) has suffered an economic loss of greater than 30 percent; and (iv) employs not more than 300 employees; and (B) except with respect to an entity included under section 123.300(c) of title 13, Code of Federal Regulations, or any successor regulation, does not include an agricultural enterprise. (3) Covered period.— The term “covered period” has the meaning given the term in section 1110(a)(1) of the CARES Act (15 U.S.C. 9009(a)(1)), as amended by section 332 of this Act. (4) Economic loss.— The term “economic loss” means, with respect to a covered entity— (A) the amount by which the gross receipts of the covered entity declined during an 8-week period between March 2, 2020, and December 31, 2021, relative to a comparable 8-week period immediately preceding March 2, 2020, or during 2019; or (B) if the covered entity is a seasonal business concern, such other amount determined appropriate by the Administrator. (5) Eligible entity.— The term “eligible entity” means an entity that, during the covered period, is eligible for a loan made under section 7(b)(2) of the Small Business Act (15 U.S.C. 636(b)(2)), as described in section 1110(b) of the CARES Act (15 U.S.C. 9009(b)). (6) Low-income community.— The term “low-income community” has the meaning given the term in section 45D(e) of the Internal Revenue Code of 1986.

    Effective date note
    Pub. L. 116–260, div. BB, title III, § 331(d), Dec. 27, 2020, 134 Stat. 2938, provided that: “The amendments made by subsections (a), (b), and (c) [amending this section and sections 297n–1 and 297t of this title] shall take effect as if included in the enactment of the Coronavirus Aid, Relief, and Economic Security Act (Public Law 116–136).”

13 of 13 references resolved to an enrolled provision