42 U.S.C. § 293c — Educational assistance in the health pro-

Page 1018 TITLE 42—THE PUBLIC HEALTH AND WELFARE § 293c (5) Definition For purposes of this subsection, the term ‘‘underrepresented minority individuals’’ means individuals who are members of racial or ethnic minority groups that are underrep- resented in the health professions including nursing. (July 1, 1944, ch. 373, title VII, § 738, as added Pub. L. 105–392, title I, § 101(a), Nov. 13, 1998, 112 Stat. 3532; amended Pub. L. 111–148, title V, § 5402(a), title X, § 10501(d), Mar. 23, 2010, 124 Stat. 644, 995.) Editorial Notes REFERENCES IN TEXT Subpart III of part D of subchapter II, referred to in subsec. (a)(5), is classified to section 254l et seq. of this title. PRIOR PROVISIONS A prior section 293b, act July 1, 1944, ch. 373, title VII, § 738, as added Pub. L. 102–408, title I, § 102, Oct. 13, 1992, 106 Stat. 2025, related to loan repayments and fellow- ships regarding faculty positions, prior to the general amendment of this part by Pub. L. 105–392. Another prior section 293b, act July 1, 1944, ch. 373, title VII, § 722, as added Sept. 24, 1963, Pub. L. 88–129, § 2(b), 77 Stat. 168; amended Aug. 16, 1968, Pub. L. 90–490, title I, §§ 102(a), 104(a), 82 Stat. 773, 774; Nov. 18, 1971, Pub. L. 92–157, title I, § 102(b), (j)(4), (7), 85 Stat. 431, 436, 437; Oct. 12, 1976, Pub. L. 94–484, title III, § 304, 90 Stat. 2255; Aug. 13, 1981, Pub. L. 97–35, title XXVII, § 2723(e), 95 Stat. 916, related to amounts of grants and grants for multipurpose facilities, prior to the general revision of this subchapter by Pub. L. 102–408. A prior section 738 of act July 1, 1944, was classified to section 294k of this title prior to the general revision of this subchapter by Pub. L. 102–408. AMENDMENTS 2010—Subsec. (a)(1). Pub. L. 111–148, § 5402(a), sub- stituted ‘‘$30,000’’ for ‘‘$20,000’’. Subsec. (a)(3). Pub. L. 111–148, § 10501(d), inserted ‘‘schools offering physician assistant education pro- grams,’’ after ‘‘public health,’’. § 293c. Educational assistance in the health pro- fessions regarding individuals from dis- advantaged backgrounds (a) In general (1) Authority for grants For the purpose of assisting individuals from disadvantaged backgrounds, as determined in accordance with criteria prescribed by the Secretary, to undertake education to enter a health profession, the Secretary may make grants to and enter into contracts with schools of medicine, osteopathic medicine, public health, dentistry, veterinary medicine, optometry, pharmacy, allied health, chiro- practic, and podiatric medicine, public and nonprofit private schools that offer graduate programs in behavioral and mental health, programs for the training of physician assist- ants, and other public or private nonprofit health or educational entities to assist in meeting the costs described in paragraph (2). (2) Authorized expenditures A grant or contract under paragraph (1) may be used by the entity to meet the cost of— (A) identifying, recruiting, and selecting individuals from disadvantaged back- grounds, as so determined, for education and training in a health profession; (B) facilitating the entry of such individ- uals into such a school; (C) providing counseling, mentoring, or other services designed to assist such indi- viduals to complete successfully their edu- cation at such a school; (D) providing, for a period prior to the entry of such individuals into the regular course of education of such a school, pre- liminary education and health research training designed to assist them to complete successfully such regular course of edu- cation at such a school, or referring such in- dividuals to institutions providing such pre- liminary education; (E) publicizing existing sources of finan- cial aid available to students in the edu- cation program of such a school or who are undertaking training necessary to qualify them to enroll in such a program; (F) paying such scholarships as the Sec- retary may determine for such individuals for any period of health professions edu- cation at a health professions school; (G) paying such stipends as the Secretary may approve for such individuals for any pe- riod of education in student-enhancement programs (other than regular courses), ex- cept that such a stipend may not be provided to an individual for more than 12 months, and such a stipend shall be in an amount de- termined appropriate by the Secretary (not- withstanding any other provision of law re- garding the amount of stipends); (H) carrying out programs under which such individuals gain experience regarding a career in a field of primary health care through working at facilities of public or private nonprofit community-based pro- viders of primary health services; and (I) conducting activities to develop a larg- er and more competitive applicant pool through partnerships with institutions of higher education, school districts, and other community-based entities. (3) Definition In this section, the term ‘‘regular course of education of such a school’’ as used in sub- paragraph (D) includes a graduate program in behavioral or mental health. (b) Requirements for awards In making awards to eligible entities under subsection (a)(1), the Secretary shall give pref- erence to approved applications for programs that involve a comprehensive approach by sev- eral public or nonprofit private health or edu- cational entities to establish, enhance and ex- pand educational programs that will result in the development of a competitive applicant pool of individuals from disadvantaged backgrounds who desire to pursue health professions careers. In considering awards for such a comprehensive partnership approach, the following shall apply with respect to the entity involved: (1) The entity shall have a demonstrated commitment to such approach through formal Page 1019 TITLE 42—THE PUBLIC HEALTH AND WELFARE § 293d agreements that have common objectives with institutions of higher education, school dis- tricts, and other community-based entities. (2) Such formal agreements shall reflect the coordination of educational activities and sup- port services, increased linkages, and the con- solidation of resources within a specific geo- graphic area. (3) The design of the educational activities involved shall provide for the establishment of a competitive health professions applicant pool of individuals from disadvantaged back- grounds by enhancing the total preparation (academic and social) of such individuals to pursue a health professions career. (4) The programs or activities under the award shall focus on developing a culturally competent health care workforce that will serve the unserved and underserved popu- lations within the geographic area. (c) Equitable allocation of financial assistance The Secretary, to the extent practicable, shall ensure that services and activities under sub- section (a) are adequately allocated among the various racial and ethnic populations who are from disadvantaged backgrounds. (d) Matching requirements The Secretary may require that an entity that applies for a grant or contract under subsection (a), provide non-Federal matching funds, as ap- propriate, to ensure the institutional commit- ment of the entity to the projects funded under the grant or contract. As determined by the Sec- retary, such non-Federal matching funds may be provided directly or through donations from public or private entities and may be in cash or in-kind, fairly evaluated, including plant, equip- ment, or services. (July 1, 1944, ch. 373, title VII, § 739, as added Pub. L. 105–392, title I, § 101(a), Nov. 13, 1998, 112 Stat. 3534.) Editorial Notes PRIOR PROVISIONS A prior section 293c, act July 1, 1944, ch. 373, title VII, § 739, as added Pub. L. 102–408, title I, § 102, Oct. 13, 1992, 106 Stat. 2027, related to centers of excellence in health professions education for minority individuals, prior to the general amendment of this part by Pub. L. 105–392. See section 293 of this title. Another prior section 293c, act July 1, 1944, ch. 373, title VII, § 723, as added Sept. 24, 1963, Pub. L. 88–129, § 2(b), 77 Stat. 168; amended Aug. 16, 1968, Pub. L. 90–490, title I, § 103(a)(1), (2), 82 Stat. 773; Nov. 18, 1971, Pub. L. 92–157,title I, § 102(c)(5), (f)(2)(C), (j)(1), (5), 85 Stat. 432, 435–437; Oct. 12, 1976, Pub. L. 94–484, title III, § 305, 90 Stat. 2255; Aug. 13, 1981, Pub. L. 97–35, title XXVII, § 2723(f), 95 Stat. 916; Oct. 22, 1985, Pub. L. 99–129, title II, § 207(a), 99 Stat. 527, related to recovery by United States of grant moneys where facility was no longer owned by a public or nonprofit agency or where it ceased to be used for teaching or training purposes, prior to the general revision of this subchapter by Pub. L. 102–408. A prior section 739 of act July 1, 1944, was classified to section 294l of this title prior to the general revision of this subchapter by Pub. L. 102–408. § 293d. Authorization of appropriation (a) Scholarships There are authorized to be appropriated to carry out section 293a of this title, $51,470,000 for each of fiscal years 2021 through 2025. Of the amount appropriated in any fiscal year, the Sec- retary shall ensure that not less than 16 percent shall be distributed to schools of nursing. (b) Loan repayments and fellowships For the purpose of carrying out section 293b of this title, there is authorized to be appropriated, $1,190,000 for each of fiscal years 2021 through 2025. (c) Educational assistance in health professions regarding individuals from disadvantaged backgrounds For the purpose of grants and contracts under section 293c(a)(1) of this title, there is author- ized to be appropriated $15,000,000 for each of fis- cal years 2021 through 2025. The Secretary may use not to exceed 20 percent of the amount ap- propriated for a fiscal year under this subsection to provide scholarships under section 293c(a)(2)(F) of this title. (d) Report Not later than September 30, 2025, and every five years thereafter, the Secretary shall pre- pare 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, a report con- cerning the efforts of the Secretary to address the need for a representative mix of individuals from historically minority health professions schools, or from institutions or other entities that historically or by geographic location have a demonstrated record of training or educating underrepresented minorities, within various health professions disciplines, on peer review councils. (July 1, 1944, ch. 373, title VII, § 740, as added Pub. L. 105–392, title I, § 101(a), Nov. 13, 1998, 112 Stat. 3536; amended Pub. L. 111–148, title V, § 5402(b)–(d), Mar. 23, 2010, 124 Stat. 644; Pub. L. 116–136, div. A, title III, § 3401(2), Mar. 27, 2020, 134 Stat. 385.) Editorial Notes PRIOR PROVISIONS A prior section 293d, act July 1, 1944, ch. 373, title VII, § 740, as added Pub. L. 102–408, title I, § 102, Oct. 13, 1992, 106 Stat. 2032, related to educational assistance regard- ing undergraduates, prior to the general amendment of this part by Pub. L. 105–392. Another prior section 293d, act July 1, 1944, ch. 373, title VII, § 724, formerly § 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; renum- bered § 724 and amended Oct. 12, 1976, Pub. L. 94–484, title III, § 308(c), (d), 90 Stat. 2257, related to promulga- tion of regulations by Secretary, prior to the general revision of this subchapter by Pub. L. 102–408. Another prior section 293d, act July 1, 1944, ch. 373, title VII, § 701, formerly § 724, as added Sept. 24, 1963, Pub. L. 88–129, § 2(b), 77 Stat. 169; amended Oct. 22, 1965, Pub. L. 89–290, § 2(b), 79 Stat. 1056; Nov. 2, 1966, Pub. L. 89–709, § 2(c), 80 Stat. 1103; Aug. 16, 1968, Pub. L. 90–490, title I, § 105(c), 82 Stat. 774; Nov. 18, 1971, Pub. L. 92–157, title I, § 102(c)(1)–(4), (f)(2)(B), 85 Stat. 431, 432, 435, which related to definitions, was renumbered § 701 of act July 1, 1944, by Pub. L. 94–484 and transferred to section 292a of this title. A prior section 740 of act July 1, 1944, was classified to section 294m of this title prior to the general revi- sion of this subchapter by Pub. L. 102–408.