42 U.S.C. § 294d — Quentin N. Burdick program for rural

Page 1036 TITLE 42—THE PUBLIC HEALTH AND WELFARE § 294d § 294d. Quentin N. Burdick program for rural interdisciplinary training (a) Grants The Secretary may make grants or contracts under this section to help entities fund author- ized 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 interdiscipli- nary training projects designed to— (A) use innovative or evidence-based meth- ods to train health care practitioners to pro- vide services in rural areas; (B) demonstrate and evaluate innovative interdisciplinary methods and models de- signed to provide access to cost-effective comprehensive health care; (C) deliver health care services to individ- uals residing in rural areas; (D) enhance the amount of relevant re- search 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 transpor- tation 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 adminis- trative expenses. (B) Training Not more than 10 percent of the individ- uals 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 sup- plant, amounts made available by such insti- tution 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 eligi- ble applicants with the express purpose of as- sisting individuals in academic institutions in establishing long-term collaborative relation- ships with health care providers in rural areas; and (2) designate a rural health care agency or agencies for clinical treatment or training, in- cluding hospitals, community health centers, migrant health centers, rural health clinics, community behavioral and mental health cen- ters, long-term care facilities, Native Hawai- ian 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 Serv- ice under the Indian Self-Determination Act [25 U.S.C. 5321 et seq.]. (d) Definitions For the purposes of this section, the term ‘‘rural’’ means geographic areas that are located outside of standard metropolitan statistical areas. (July 1, 1944, ch. 373, title VII, § 754, as added Pub. L. 105–392, title I, § 103, Nov. 13, 1998, 112 Stat. 3547; amended Pub. L. 116–136, div. A, title III, § 3401(7), Mar. 27, 2020, 134 Stat. 386.) Editorial Notes REFERENCES IN TEXT The Indian Self-Determination Act, referred to in subsec. (c)(2), is title I of Pub. L. 93–638, Jan. 4, 1975, 88 Stat. 2206, which is classified principally to subchapter I (§ 5321 et seq.) of chapter 46 of Title 25, Indians. For complete classification of this Act to the Code, see Short Title note set out under section 5301 of Title 25 and Tables. PRIOR PROVISIONS A prior section 294d, act July 1, 1944, ch. 373, title VII, § 766, as added Pub. L. 102–408, title I, § 102, Oct. 13, 1992, 106 Stat. 2047, authorized grants and contracts for de- velopment of advanced training of allied health profes- sionals, prior to the general amendment of this part by Pub. L. 105–392. Another prior section 294d, act July 1, 1944, ch. 373, title VII, § 731, as added Oct. 12, 1976, Pub. L. 94–484, title IV, § 401(b)(3), 90 Stat. 2258; amended Aug. 1, 1977, Pub. L. 95–83, title III, § 307(c)(1), (2), 91 Stat. 389, 390; Dec. 19, 1977, Pub. L. 95–215, § 4(a)–(d), (e)(6), 91 Stat. 1505, 1506; Dec. 17, 1980, Pub. L. 96–538, title IV, § 402, 94 Stat. 3192; Aug. 13, 1981, Pub. L. 97–35, title XXVII, § 2728, 95 Stat. 918; Oct. 22, 1985, Pub. L. 99–129, title II, §§ 208(a), (b)(1), (2), (c)(1), (d), (i), 211(a)(2), 99 Stat. 529–532, 539; Nov. 4, 1988, Pub. L. 100–607, title VI, § 602(e), (f), 102 Stat. 3123; Apr. 6, 1991, Pub. L. 102–25, title III, § 374, 105 Stat. 95; July 23, 1992, Pub. L. 102–325, title IV, § 427(b)(2), 106 Stat. 549, related to eligibility of borrowers and terms of insurance, prior to the general amendment of this subchapter by Pub. L. 102–408. See section 292d of this title. Another prior section 294d, act July 1, 1944, ch. 373, title VII, § 744, as added Sept. 24, 1963, Pub. L. 88–129, § 2(b), 77 Stat. 173; amended Oct. 22, 1965, Pub. L. 89–290, § 4(e), 79 Stat. 1057; Nov. 3, 1966, Pub. L. 89–751, § 5(a), 80 Stat. 1230; Aug. 16, 1968, Pub. L. 90–490, title I, § 121(d), 82 Stat. 778; July 9, 1971, Pub. L. 92–52, § 1(c), 85 Stat. 144; Nov. 18, 1971, Pub. L. 92–157, title I, § 105(e)(3), (f)(2), 85 Stat. 451, provided for loans to schools to capitalize health professions student loan funds, prior to repeal by Pub. L. 94–484, title IV, § 406(a)(1), Oct. 12, 1976, 90 Stat. 2268. Page 1037 TITLE 42—THE PUBLIC HEALTH AND WELFARE § 294e–1 AMENDMENTS 2020—Subsec. (b)(1)(A). Pub. L. 116–136 substituted ‘‘innovative or evidence-based’’ for ‘‘new and innova- tive’’. § 294e. Allied health and other disciplines (a) In general The Secretary may make grants or contracts under this section to help entities fund activi- ties of the type described in subsection (b). (b) Activities Activities of the type described in this sub- section include the following: (1) Assisting entities in meeting the costs associated with expanding or establishing pro- grams that will increase the number of indi- viduals 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 short- ages or whose services are most needed by geriatric populations or for maternal and child health; (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 profes- sionals; (E) those that expand or establish clinical training sites for allied health professionals in medically underserved or rural commu- nities in order to increase the number of in- dividuals trained; (F) those that develop curriculum that will emphasize knowledge and practice in the areas of prevention and health pro- motion, geriatrics, long-term care, home health and hospice care, and ethics; (G) those that expand or establish inter- disciplinary training programs that promote the effectiveness of allied health practi- tioners in geriatric assessment and the reha- bilitation of the elderly; (H) those that expand or establish dem- onstration centers to emphasize innovative models to link allied health clinical prac- tice, 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 al- lied health field that has a demonstrated personnel shortage; and (ii) who agree upon completion of the training program to practice in a medi- cally underserved community; that shall be utilized to assist in the pay- ment 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 grad- uate programs in behavioral and mental health practice. (2) Planning and implementing projects in preventive and primary care training for podiatric physicians in approved or provision- ally 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 pri- mary care. (3) Carrying out demonstration projects in which chiropractors and physicians collabo- rate to identify and provide effective treat- ment for spinal and lower-back conditions. (4) Increasing educational opportunities in physical therapy, occupational therapy, res- piratory therapy, audiology, and speech-lan- guage pathology professions, which may in- clude offering scholarships or stipends and carrying out other activities to improve reten- tion, for individuals from disadvantaged back- grounds or individuals who are underrep- resented in such professions. (July 1, 1944, ch. 373, title VII, § 755, as added Pub. L. 105–392, title I, § 103, Nov. 13, 1998, 112 Stat. 3548; amended Pub. L. 116–136, div. A, title III, § 3401(8), Mar. 27, 2020, 134 Stat. 386; Pub. L. 117–328, div. FF, title II, § 2224, Dec. 29, 2022, 136 Stat. 5749.) Editorial Notes PRIOR PROVISIONS A prior section 294e, act July 1, 1944, ch. 373, title VII, § 767, as added Pub. L. 102–408, title I, § 102, Oct. 13, 1992, 106 Stat. 2048, authorized grants and contracts for es- tablishment of programs to increase number of allied health professionals, prior to the general amendment of this part by Pub. L. 105–392. Another prior section 294e, act July 1, 1944, ch. 373, title VII, § 732, as added Oct. 12, 1976, Pub. L. 94–484, title IV, § 401(b)(3), 90 Stat. 2260; amended Aug. 1, 1977, Pub. L. 95–83, title III, § 307(c)(3), (4), 91 Stat. 390; Dec. 19, 1977, Pub. L. 95–215, § 4(e)(8), (9), 91 Stat. 1506; Aug. 13, 1981, Pub. L. 97–35, title XXVII, § 2729, 95 Stat. 918; Oct. 22, 1985, Pub. L. 99–129, title II, § 208(e), 99 Stat. 531; Nov. 4, 1988, Pub. L. 100–607, title VI, § 602(g), 102 Stat. 3123, related to certificates of loan insurance, prior to the general amendment of this subchapter by Pub. L. 102–408. See section 292e of this title. Another prior section 294e, act July 1, 1944, ch. 373, title VII, § 744, formerly § 745, as added Sept. 24, 1963, Pub. L. 88–129, § 2(b), 77 Stat. 173; amended Nov. 18, 1971, Pub. L. 92–157, title I, § 105(f)(2), 85 Stat. 451; renum- bered § 744, Oct. 12, 1976, Pub. L. 94–484, title IV, § 406(a)(2), 90 Stat. 2268, which related to administrative provisions, was transferred to section 294q of this title. AMENDMENTS 2022—Subsec. (b)(4). Pub. L. 117–328 added par. (4). 2020—Subsec. (b)(1)(A). Pub. L. 116–136 substituted ‘‘geriatric populations or for maternal and child health’’ for ‘‘the elderly’’. § 294e–1. Mental and behavioral health education and training grants (a) Grants authorized The Secretary may award grants to eligible institutions to support the recruitment of stu- dents for, and education and clinical experience of the students in— (1) accredited institutions of higher edu- cation or accredited professional training pro- grams that are establishing or expanding in- ternships or other field placement programs in