42 U.S.C. § 294s — Rural maternal and obstetric care train-

Page 1059 TITLE 42—THE PUBLIC HEALTH AND WELFARE § 294s than 60 percent of the grant funds to make grants to be competitively awarded by the State partnership, consistent with State procurement rules, to encourage regional partnerships to address health care work- force development needs and to promote in- novative health care workforce career path- way activities, including career counseling, learning, and employment. (B) Eligible partnership duties An eligible State partnership receiving an implementation grant shall— (i) identify and convene regional leader- ship to discuss opportunities to engage in statewide health care workforce develop- ment planning, including the potential use of competitive grants to improve the de- velopment, distribution, and diversity of the regional health care workforce; the alignment of curricula for health care ca- reers; and the access to quality career in- formation and guidance and education and training opportunities; (ii) in consultation with key stake- holders and regional leaders, take appro- priate steps to reduce Federal, State, or local barriers to a comprehensive and co- herent strategy, including changes in State or local policies to foster coherent and comprehensive health care workforce development activities, including health care career pathways at the regional and State levels, career planning information, retraining for dislocated workers, and as appropriate, requests for Federal program or administrative waivers; (iii) develop, disseminate, and review with key stakeholders a preliminary state- wide strategy that addresses short- and long-term health care workforce develop- ment supply versus demand; (iv) convene State partnership members on a regular basis, and at least on a semi- annual basis; (v) assist leaders at the regional level to form partnerships, including technical as- sistance and capacity building activities; (vi) collect and assess data on and report on the performance benchmarks selected by the State partnership and the Adminis- tration for implementation activities car- ried out by regional and State partner- ships; and (vii) participate in the Administration’s evaluation and reporting activities. (7) Performance and evaluation Before the State partnership receives an im- plementation grant, it and the Administrator shall jointly determine the performance benchmarks that shall be established for the purposes of the implementation grant. (8) Match Each State partnership receiving an imple- mentation grant shall provide an amount, in cash or in kind that is not less than 25 percent of the amount of the grant, to carry out the activities supported by the grant. The match- ing funds may be provided from funds avail- able from other Federal, State, local, or pri- vate sources to carry out such activities. (9) Reports (A) Report to administration For each year of the implementation grant, the State partnership receiving the implementation grant shall submit a report to the Administration on the performance of the State of the grant activities, including a description of the use of the funds, including matched funds, to complete activities, and a description of the performance of the State partnership in meeting the performance benchmarks. (B) Report to Congress The Administration shall submit a report to Congress analyzing implementation ac- tivities, performance, and fund utilization of the State grantees, including an identifica- tion of promising practices and a profile of the activities of each State grantee. (e) Authorization for appropriations (1) Planning grants There are authorized to be appropriated to award planning grants under subsection (c) $8,000,000 for fiscal year 2010, and such sums as may be necessary for each subsequent fiscal year. (2) Implementation grants There are authorized to be appropriated to award implementation grants under sub- section (d), $150,000,000 for fiscal year 2010, and such sums as may be necessary for each subse- quent fiscal year. (Pub. L. 111–148, title V, § 5102, Mar. 23, 2010, 124 Stat. 599.) Editorial Notes CODIFICATION Section was enacted as part of the Patient Protection and Affordable Care Act, and not as part of the Public Health Service Act which comprises this chapter. PRIOR PROVISIONS A prior section 294r, act July 1, 1944, ch. 373, title VII, § 751, as added Nov. 4, 1988, Pub. L. 100–607, title VI, § 604, 102 Stat. 3126, which related to establishment of a loan repayment program for allied health personnel, was omitted in the general amendment of this subchapter by Pub. L. 102–408. Another prior section 294r, act July 1, 1944, ch. 373, title VII, § 748, as added Oct. 12, 1976, Pub. L. 94–484, title IV, § 408(a), 90 Stat. 2279; amended Aug. 1, 1977, Pub. L. 95–83, title III, § 307(f), 91 Stat. 391; Dec. 19, 1977, Pub. L. 95–215, § 3, 91 Stat. 1504; Sept. 29, 1979, Pub. L. 96–76, title II, § 206(a), 93 Stat. 583, which related to traineeships for students in schools of public health, was renumbered section 792 of act July 1, 1944, by Pub. L. 97–35 and transferred to section 295h–1b of this title, and was subsequently omitted in the general amend- ment of this subchapter by Pub. L. 102–408. Statutory Notes and Related Subsidiaries DEFINITIONS For definitions of terms used in this section, see sec- tion 5002(a) of Pub. L. 111–148, set out as a note under section 294q of this title. § 294s. Rural maternal and obstetric care train- ing demonstration (a) In general The Secretary shall award grants to accred- ited schools of allopathic medicine, osteopathic Page 1060 TITLE 42—THE PUBLIC HEALTH AND WELFARE § 294t medicine, and nursing, and other appropriate health professional training programs, to estab- lish a training demonstration program to sup- port— (1) training for physicians, medical resi- dents, fellows, nurse practitioners, physician assistants, nurses, certified nurse midwives, relevant home visiting workforce professionals and paraprofessionals, or other professionals who meet relevant State training and licens- ing requirements, as applicable, to reduce pre- ventable maternal mortality and severe ma- ternal morbidity by improving prenatal care, labor care, birthing, and postpartum care in rural community-based settings; and (2) developing recommendations for such training programs. (b) Application To be eligible to receive a grant under sub- section (a), an entity shall submit to the Sec- retary an application at such time, in such man- ner, and containing such information as the Sec- retary may require. (c) Activities (1) Training for health care professionals A recipient of a grant under subsection (a)— (A) shall use the grant funds to plan, de- velop, and operate a training program to provide prenatal care, labor care, birthing, and postpartum care in rural areas; and (B) may use the grant funds to provide ad- ditional support for the administration of the program or to meet the costs of projects to establish, maintain, or improve faculty development, or departments, divisions, or other units necessary to implement such training. (2) Training program requirements The recipient of a grant under subsection (a) shall ensure that training programs carried out under the grant are evidence-based and ad- dress improving prenatal care, labor care, birthing, and postpartum care in rural areas, and such programs may include training on topics such as— (A) maternal mental health, including perinatal depression and anxiety; (B) substance use disorders; (C) social determinants of health that af- fect individuals living in rural areas; and (D) improving the provision of prenatal care, labor care, birthing, and postpartum care for racial and ethnic minority popu- lations, including with respect to percep- tions and biases that may affect the ap- proach to, and provision of, care. (d) Evaluation and report (1) Evaluation (A) In general The Secretary shall evaluate the outcomes of the demonstration program under this section. (B) Data submission Recipients of a grant under subsection (a) shall submit to the Secretary performance metrics and other related data in order to evaluate the program for the report de- scribed in paragraph (2). (2) Report to Congress Not later than January 1, 2026, the Secretary shall submit to Congress a report that in- cludes— (A) an analysis of the effects of the dem- onstration program under this section on the quality, quantity, and distribution of maternal health care services, including pre- natal care, labor care, birthing, and postpartum care services, and the demo- graphics of the recipients of those services; (B) an analysis of maternal and infant health outcomes (including quality of care, morbidity, and mortality) before and after implementation of the program in the com- munities served by entities participating in the demonstration; and (C) recommendations on whether the dem- onstration program should be continued. (e) Authorization of appropriations There are authorized to be appropriated to carry out this section $5,000,000 for each of fiscal years 2023 through 2027. (July 1, 1944, ch. 373, title VII, § 764, as added Pub. L. 117–103, div. P, title I, § 144, Mar. 15, 2022, 136 Stat. 800.) Editorial Notes CODIFICATION Another section 764 of act July 1, 1944, is classified to section 294t of this title. PRIOR PROVISIONS A prior section 294s, act July 1, 1944, ch. 373, title VII, § 749, as added Oct. 12, 1976, Pub. L. 94–484, title IV, § 408(a), 90 Stat. 2280; amended Aug. 1, 1977, Pub. L. 95–83, title III, § 307(f), 91 Stat. 391, Pub. L. 96–88, title III, § 301(a)(1), title V, § 507, 93 Stat. 677, 692, which re- lated to traineeships for students in other graduate programs, was renumbered section 791A of act July 1, 1944, by Pub. L. 97–35 and transferred to section 295h–1a of this title, and was subsequently omitted in the gen- eral amendment of this subchapter by Pub. L. 102–408. § 294t. Programs to promote mental health among the health professional workforce (a) Programs to promote mental health among health care professionals (1) In general The Secretary shall award grants or con- tracts to health care entities, including enti- ties that provide health care services, such as hospitals, community health centers, and rural health clinics, or to medical professional associations, to establish or enhance evidence- based or evidence-informed programs dedi- cated to improving mental health and resil- iency for health care professionals. (2) Use of funds An eligible entity receiving a grant or con- tract under this subsection shall use funds re- ceived through the grant or contract to imple- ment a new program or enhance an existing program to promote mental health among health care professionals, which may include— (A) improving awareness among health care professionals about risk factors for, and signs of, suicide and mental health or sub-