42 U.S.C. § 293e — Grants for health professions education

Page 1020 TITLE 42—THE PUBLIC HEALTH AND WELFARE § 293e 1 So in original. Act July 1, 1944, does not contain a section 270. 2 So in original. AMENDMENTS 2020—Subsec. (a). Pub. L. 116–136, § 3401(2)(A), sub- stituted ‘‘$51,470,000 for each of fiscal years 2021 through 2025’’ for ‘‘$51,000,000 for fiscal year 2010, and such sums as may be necessary for each of the fiscal years 2011 through 2014’’. Subsec. (b). Pub. L. 116–136, § 3401(2)(B), substituted ‘‘$1,190,000 for each of fiscal years 2021 through 2025’’ for ‘‘$5,000,000 for each of the fiscal years 2010 through 2014’’. Subsec. (c). Pub. L. 116–136, § 3401(2)(C), substituted ‘‘$15,000,000 for each of fiscal years 2021 through 2025’’ for ‘‘$60,000,000 for fiscal year 2010 and such sums as may be necessary for each of the fiscal years 2011 through 2014’’. Subsec. (d). Pub. L. 116–136, § 3401(2)(D), which di- rected substitution of ‘‘Not later than September 30, 2025, and every five years thereafter, the Secretary shall prepare and 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,’’ for ‘‘Not Later than 6 months after November 13, 1998, the Secretary shall prepare and sub- mit to the appropriate committees of Congress’’, was executed by making the substitution for ‘‘Not later than 6 months after November 13, 1998, the Secretary shall prepare and submit to the appropriate commit- tees of Congress’’, to reflect the probable intent of Con- gress. 2010—Subsec. (a). Pub. L. 111–148, § 5402(b), substituted ‘‘$51,000,000 for fiscal year 2010, and such sums as may be necessary for each of the fiscal years 2011 through 2014’’ for ‘‘$37,000,000 for fiscal year 1998, and such sums as may be necessary for each of the fiscal years 1999 through 2002’’. Subsec. (b). Pub. L. 111–148, § 5402(c), substituted ‘‘ap- propriated, $5,000,000 for each of the fiscal years 2010 through 2014’’ for ‘‘appropriated $1,100,000 for fiscal year 1998, and such sums as may be necessary for each of the fiscal years 1999 through 2002’’. Subsec. (c). Pub. L. 111–148, § 5402(d), substituted ‘‘For the purpose of grants and contracts under section 293c(a)(1) of this title, there is authorized to be appro- priated $60,000,000 for fiscal year 2010 and such sums as may be necessary for each of the fiscal years 2011 through 2014’’ for ‘‘For the purpose of grants and con- tracts under section 293c(a)(1) of this title, there is au- thorized to be appropriated $29,400,000 for fiscal year 1998, and such sums as may be necessary for each of the fiscal years 1999 through 2002’’. § 293e. Grants for health professions education (a) Cultural competency, prevention, and public health and individuals with disability grants (1) In general The Secretary, acting through the Adminis- trator of the Health Resources and Services Administration, may make awards of grants, contracts, or cooperative agreements to public and nonprofit private entities (including tribal entities) for the development, evaluation, and dissemination of research, demonstration projects, and model curricula for cultural competency, prevention, public health pro- ficiency, reducing health disparities, and apti- tude for working with individuals with disabil- ities training for use in health professions schools and continuing education programs, and for other purposes determined as appro- priate by the Secretary. (2) Eligible entities Unless specifically required otherwise in this subchapter, the Secretary shall accept appli- cations for grants or contracts under this sec- tion from health professions schools, academic health centers, State or local governments, or other appropriate public or private nonprofit entities (or consortia of entities, including en- tities promoting multidisciplinary ap- proaches) for funding and participation in health professions training activities. The Secretary may accept applications from for- profit private entities as determined appro- priate by the Secretary. (b) Collaboration In carrying out subsection (a), the Secretary shall collaborate with health professional soci- eties, licensing and accreditation entities, health professions schools, and experts in minor- ity health and cultural competency, prevention, and public health and disability groups, commu- nity-based organizations, and other organiza- tions as determined appropriate by the Sec- retary. The Secretary shall coordinate with cur- ricula and research and demonstration projects developed under section 296e–1 of this title. (c) Dissemination (1) In general Model curricula developed under this section shall be disseminated through the Internet Clearinghouse under section 270 1 and such other means as determined appropriate by the Secretary. (2) Evaluation The Secretary shall evaluate the adoption and the implementation of cultural com- petency, prevention, and public health, and working with individuals with a disability training curricula, and the facilitate 2 inclu- sion of these competency measures in quality measurement systems as appropriate. (d) Authorization of appropriations There is authorized to be appropriated to carry out this section such sums as may be nec- essary for each of fiscal years 2010 through 2015. (July 1, 1944, ch. 373, title VII, § 741, as added Pub. L. 106–525, title IV, § 401(a), Nov. 22, 2000, 114 Stat. 2508; amended Pub. L. 111–148, title V, § 5307(a), Mar. 23, 2010, 124 Stat. 628.) Editorial Notes PRIOR PROVISIONS A prior section 293e, act July 1, 1944, ch. 373, title VII, § 725, formerly § 728, as added Sept. 24, 1963, Pub. L. 88–129, § 2(b), 77 Stat. 170; amended Sept. 4, 1964, Pub. L. 88–581, § 3(d), 78 Stat. 919; Nov. 18, 1971, Pub. L. 92–157, title I, § 102(i), 85 Stat. 436; renumbered § 725, Oct. 12, 1976, Pub. L. 94–484, title III, § 308(d), 90 Stat. 2257, re- lated to technical assistance to applicants for grants for construction of teaching facilities for medical, den- tal, and other health personnel, and to States or inter- state planning agencies to plan programs for relieving shortages of training of health personnel, prior to the general amendment of this subchapter by Pub. L. 102–408, title I, § 102, Oct. 13, 1992, 106 Stat. 1994. Another prior section 293e, act July 1, 1944, ch. 373, title VII, § 702, formerly § 725, as added Sept. 24, 1963, Pub. L. 88–129, § 2(b), 77 Stat. 169; amended Sept. 4, 1964, Pub. L. 88–581, § 3(c), 78 Stat. 919; Nov. 2, 1966, Pub. L. Page 1021 TITLE 42—THE PUBLIC HEALTH AND WELFARE § 293k 89–709, § 2(d), 80 Stat. 1103; Nov. 3, 1966, Pub. L. 89–751, § 3(a), 80 Stat. 1230; Dec. 5, 1967, Pub. L. 90–174, § 12(c), 81 Stat. 541; Oct. 30, 1970, Pub. L. 91–515, title VI, § 601(b)(2), 84 Stat. 1311; Nov. 18, 1971, Pub. L. 92–157, title I, § 108(a), 85 Stat. 460, was renumbered § 702 of act July 1, 1944, by Pub. L. 94–484 and transferred to section 292b of this title, and subsequently omitted in the gen- eral amendment of this subchapter by Pub. L. 102–408. A prior section 293f, act July 1, 1944, ch. 373, title VII, § 726, formerly § 729, as added Nov. 18, 1971, Pub. L. 92–157, title I, § 102(d), 85 Stat. 432; renumbered § 726 and amended Oct. 12, 1976, Pub. L. 94–484, title I, § 101(d), title III, §§ 306, 308(d), 90 Stat. 2244, 2256, 2257; Aug. 13, 1981, Pub. L. 97–35, title XXVII, § 2725, 95 Stat. 916, re- lated to loan guarantees and interest subsidies, prior to the general amendment of this subchapter by Pub. L. 102–408, title I, § 102, Oct. 13, 1992, 106 Stat. 1994. Another prior section 293f, act July 1, 1944, ch. 373, title VII, § 726, as added Sept. 24, 1963, Pub. L. 88–129, § 2(b), 77 Stat. 170, provided for noninterference with ad- ministration of institutions, prior to repeal by Pub. L. 94–484, title III, § 308(b), Oct. 12, 1976, 90 Stat. 2257. A prior section 293g, act July 1, 1944, ch. 373, title VII, § 727, as added Sept. 24, 1963, Pub. L. 88–129, § 2(b), 77 Stat. 170; amended Nov. 18, 1971, Pub. L. 92–157, title I, § 102(j)(7)(B), 85 Stat. 437, which related to regulations, was renumbered section 724 of act July 1, 1944, by Pub. L. 94–484 and transferred to section 293d of this title, and subsequently omitted in the general amendment of this subchapter by Pub. L. 102–408. A prior section 293h, act July 1, 1944, ch. 373, title VII, § 728, as added Sept. 24, 1963, Pub. L. 88–129, § 2(b), 77 Stat. 170; amended Sept. 4, 1964, Pub. L. 88–581, § 3(d), 78 Stat. 919; Nov. 18, 1971, Pub. L. 92–157, title I, § 102(i), 85 Stat. 436, which related to technical assistance, was re- numbered section 726 of act July 1, 1944, by Pub. L. 94–484 and transferred to section 293e of this title, and subsequently omitted in the general amendment of this subchapter by Pub. L. 102–408. A prior section 293i, act July 1, 1944, ch. 373, title VII, § 729, as added Nov. 18, 1971, Pub. L. 92–157, title I, § 102(d), 85 Stat. 432, which related to loan guarantees and interest subsidies, was renumbered section 726 of act July 1, 1944, by Pub. L. 94–484 and transferred to section 293f of this title, and subsequently omitted in the general amendment of this subchapter by Pub. L. 102–408. AMENDMENTS 2010—Subsec. (a). Pub. L. 111–148, § 5307(a)(1)(A), sub- stituted ‘‘Cultural competency, prevention, and public health and individuals with disability grants’’ for ‘‘Grants for health professions education in health dis- parities and cultural competency’’ in heading. Subsec. (a)(1). Pub. L. 111–148, § 5307(a)(1)(B), sub- stituted ‘‘for the development, evaluation, and dissemi- nation of research, demonstration projects, and model curricula for cultural competency, prevention, public health proficiency, reducing health disparities, and ap- titude for working with individuals with disabilities training for use in health professions schools and con- tinuing education programs, and for other purposes de- termined as appropriate by the Secretary’’ for ‘‘for the purpose of carrying out research and demonstration projects (including research and demonstration projects for continuing health professions education) for training and education of health professionals for the reduction of disparities in health care outcomes and the provision of culturally competent health care’’. Subsecs. (b) to (d). Pub. L. 111–148, § 5307(a)(2), added subsecs. (b) to (d) and struck out former subsec. (b). Prior to amendment, text of subsec. (b) read as follows: ‘‘There are authorized to be appropriated to carry out subsection (a) of this section, $3,500,000 for fiscal year 2001, $7,000,000 for fiscal year 2002, $7,000,000 for fiscal year 2003, and $3,500,000 for fiscal year 2004.’’ Statutory Notes and Related Subsidiaries NATIONAL CONFERENCE ON HEALTH PROFESSIONS EDUCATION AND HEALTH DISPARITIES Pub. L. 106–525, title IV, § 402, Nov. 22, 2000, 114 Stat. 2509, provided that: ‘‘(a) IN GENERAL.—Not later than 1 year after the date of enactment of this Act [Nov. 22, 2000], the Sec- retary of Health and Human Services (in this section referred to as the ‘Secretary’), acting through the Ad- ministrator of the Health Resources and Services Ad- ministration, shall convene a national conference on health professions education as a method for reducing disparities in health outcomes. ‘‘(b) PARTICIPANTS.—The Secretary shall include in the national conference convened under subsection (a) advocacy groups and educational entities as described in section 741 of the Public Health Service Act [42 U.S.C. 293e] (as added by section 401), tribal health pro- grams, health centers under section 330 of such Act [42 U.S.C. 254b], and other interested parties. ‘‘(c) ISSUES.—The national conference convened under subsection (a) shall include, but is not limited to, issues that address the role and impact of health pro- fessions education on the reduction of disparities in health outcomes, including the role of education on cultural competency. The conference shall focus on methods to achieve reductions in disparities in health outcomes through health professions education (includ- ing continuing education programs) and strategies for outcomes measurement to assess the effectiveness of education in reducing disparities. ‘‘(d) PUBLICATION OF FINDINGS.—Not later than 6 months after the national conference under subsection (a) has convened, the Secretary shall publish in the Federal Register a summary of the proceedings and findings of the conference. ‘‘(e) AUTHORIZATION OF APPROPRIATIONS.—There is au- thorized to be appropriated such sums as may be nec- essary to carry out this section.’’ PART C—TRAINING IN FAMILY MEDICINE, GEN- ERAL INTERNAL MEDICINE, GENERAL PEDIAT- RICS, PHYSICIAN ASSISTANTS, GENERAL DEN- TISTRY, AND PEDIATRIC DENTISTRY SUBPART 1—MEDICAL TRAINING GENERALLY § 293j. Repealed. Pub. L. 105–392, title I, § 102(2), Nov. 13, 1998, 112 Stat. 3537 Section, act July 1, 1944, ch. 373, title VII, § 746, as added Pub. L. 102–408, title I, § 102, Oct. 13, 1992, 106 Stat. 2034; amended Pub. L. 102–531, title III, § 313(a)(2), Oct. 27, 1992, 106 Stat. 3507; Pub. L. 103–43, title XX, § 2008(i)(3), June 10, 1993, 107 Stat. 213, related to area health education center programs. A prior section 746 of act July 1, 1944, was classified to section 294q–2 of this title prior to the general revi- sion of this subchapter by Pub. L. 102–408. § 293k. Primary care training and enhancement (a) Support and development of primary care training programs (1) In general The Secretary may make grants to, or enter into contracts with, an accredited public or nonprofit private hospital, school of medicine or osteopathic medicine, academically affili- ated physician assistant training program, or a public or private nonprofit entity which the Secretary has determined is capable of car- rying out such grant or contract— (A) to plan, develop, operate, or partici- pate in an accredited professional training program, including an accredited residency