42 U.S.C. § 294b — Untitled legal text

Page 1032 TITLE 42—THE PUBLIC HEALTH AND WELFARE § 294b Similar provisions were contained in the following prior appropriation acts: Pub. L. 117–328, div. H, title II, Dec. 29, 2022, 136 Stat. 4854. Pub. L. 117–103, div. H, title II, Mar. 15, 2022, 136 Stat. 442. Pub. L. 116–260, div. H, title II, Dec. 27, 2020, 134 Stat. 1567. Pub. L. 116–94, div. A, title II, Dec. 20, 2019, 133 Stat. 2556. Pub. L. 115–245, div. B, title II, Sept. 28, 2018, 132 Stat. 3068. Pub. L. 115–141, div. H, title II, Mar. 23, 2018, 132 Stat. 715. Pub. L. 115–31, div. H, title II, May 5, 2017, 131 Stat. 519. Pub. L. 114–113, div. H, title II, Dec. 18, 2015, 129 Stat. 2600. Pub. L. 113–235, div. G, title II, Dec. 16, 2014, 128 Stat. 2467. Pub. L. 113–76, div. H, title II, Jan. 17, 2014, 128 Stat. 363. § 294b. Continuing educational support for health professionals serving in rural and un- derserved communities (a) In general The Secretary, as appropriate, shall make grants to, and enter into contracts with, eligible entities to support access to accredited con- tinuing medical education for primary care phy- sicians and health care providers at community health centers or rural health clinics to improve and increase access to care for patients in rural and medically underserved areas. Such grants or contracts may be used to improve health care, increase retention, increase representation of minority health care providers, enhance the practice environment, increase primary care physician and health care provider knowledge, and provide information dissemination and edu- cational support to reduce professional isolation through the timely dissemination of research findings using relevant resources. (b) Eligible entities For purposes of this section, the term ‘‘eligi- ble entity’’ means an entity described in section 295o–1(b) of this title, such as a community health center or rural health clinic. (c) Application An eligible entity desiring to receive an award under this section shall submit to the Secretary an application at such time, in such manner, and containing such information as the Sec- retary may require, including— (1) a description of how participation in ac- tivities funded under this section will help im- prove access to, and quality of, health care services and training needs of primary care physicians and health care providers; and (2) a plan for providing peer-to-peer training, as appropriate. (d) Use of funds (1) In general An eligible entity shall use amounts award- ed under a grant or contract under this section to provide innovative supportive activities to enhance education for primary care physicians and health care providers described in sub- section (a) through distance learning, con- tinuing educational activities, collaborative conferences, and electronic and telelearning activities, with priority for primary care pro- viders who are seeking additional education in specialty fields such as infectious disease, en- docrinology, pediatrics, mental health and substance use disorders, pain management, geriatrics, and other areas, as appropriate, in order to— (A) improve retention of primary care phy- sicians and health care providers and in- crease access to specialty health care serv- ices for patients; and (B) support access to the integration of specialty care through existing service deliv- ery locations and care across settings. (2) Clarification Entities may use amounts awarded under a grant or contract under this section for con- tinuing educational activities that include a clinical training component, including in-per- son patient care, in the respective community health center or rural health clinic, with the primary care physician or health care provider at such site and the clinical specialist from whom such additional training is being pro- vided. (e) Administrative expenses An entity that revives a grant or contract under this section shall use not more than 5 per- cent of the amounts received under the grant or contract under this section for administrative expenses. (f) Non-duplication of effort The Secretary shall ensure that activities under this section do not unnecessarily dupli- cate efforts of other programs overseen by the Health Resources and Services Administration, including activities described in section 254c–20 of this title. (g) Authorization There is authorized to be appropriated to carry out this section $5,000,000 for each of fiscal years 2023 through 2025. (July 1, 1944, ch. 373, title VII, § 752, as added Pub. L. 111–148, title V, § 5403(b), Mar. 23, 2010, 124 Stat. 648; amended Pub. L. 117–328, div. FF, title II, § 2227, Dec. 29, 2022, 136 Stat. 5751.) Editorial Notes PRIOR PROVISIONS A prior section 294b, act July 1, 1944, ch. 373, title VII, § 752, as added Pub. L. 105–392, title I, § 103, Nov. 13, 1998, 112 Stat. 3544, related to health education and training centers, prior to repeal by Pub. L. 111–148, title V, § 5403(b), Mar. 23, 2010, 124 Stat. 648. Another prior section 294b, act July 1, 1944, ch. 373, title VII, § 763, as added Pub. L. 102–408, title I, § 102, Oct. 13, 1992, 106 Stat. 2047, authorized grants and con- tracts for development of preventive medicine and den- tal public health programs, prior to the general amend- ment of this part by Pub. L. 105–392. Another prior section 294b, act July 1, 1944, ch. 373, title VII, § 729, as added Oct. 12, 1976, Pub. L. 94–484, title IV, § 401(b)(3), 90 Stat. 2258; amended Dec. 19, 1977, Pub. L. 95–215, § 4(e)(5), 91 Stat. 1506; Sept. 29, 1979, Pub. L. 96–76, title II, § 201, 93 Stat. 582; Aug. 13, 1981, Pub. L. 97–35, title XXVII, § 2727, 95 Stat. 917; Oct. 22, 1985, Pub. L. 99–129, title II, § 208(g)(1), 99 Stat. 531; Nov. 4, 1988, Page 1033 TITLE 42—THE PUBLIC HEALTH AND WELFARE § 294c Pub. L. 100–607, title VI, §§ 628(5), 629(b)(2), 102 Stat. 3145, 3146, related to limitations on individually insured loans and loan insurance, prior to the general revision of this subchapter by Pub. L. 102–408. See section 292b of this title. Another prior section 294b, act July 1, 1944, ch. 373, title VII, § 742, as added Sept. 24, 1963, Pub. L. 88–129, § 2(b), 77 Stat. 172; amended Oct. 22, 1965, Pub. L. 89–290, § 4(c), 79 Stat. 1057; Nov. 2, 1966, Pub. L. 89–709, § 3(e), 80 Stat. 1103; Nov. 3, 1966, Pub. L. 89–751, § 5(b), 80 Stat. 1232; Aug. 16, 1968, Pub. L. 90–490, title I, § 121(b), 82 Stat. 778; July 9, 1971, Pub. L. 92–52, § 1(a), 85 Stat. 144; Nov. 18, 1971, Pub. L. 92–157, title I, § 105(a), (f)(2), 85 Stat. 449, 451; Aug. 23, 1974, Pub. L. 93–385, § 2(a), 88 Stat. 741; Apr. 22, 1976, Pub. L. 94–278, title XI, § 1105(a), 90 Stat. 416; Oct. 12, 1976, Pub. L. 94–484, title I, § 101(e), title IV, §§ 404, 406(d), 90 Stat. 2244, 2267, 2268, which related to authorization of appropriations, was transferred to sec- tion 294o of this title. A prior section 752 of act July 1, 1944, was classified to section 293p of this title prior to repeal by Pub. L. 105–392. Another prior section 752 of act July 1, 1944, was clas- sified to section 294u of this title prior to renumbering by Pub. L. 97–35. AMENDMENTS 2022—Pub. L. 117–328, § 2227(1), inserted ‘‘rural and’’ after ‘‘serving in’’ in section catchline. Subsec. (a). Pub. L. 117–328, § 2227(2), substituted ‘‘, as appropriate, shall make grants to, and enter into con- tracts with, eligible entities to support access to ac- credited continuing medical education for primary care physicians and health care providers at community health centers or rural health clinics to improve and increase access to care for patients in rural and medi- cally underserved areas. Such grants or contracts may be used’’ for ‘‘shall make grants to, and enter into con- tracts with, eligible entities’’ and ‘‘health care pro- viders’’ for ‘‘faculty members’’ and inserted ‘‘increase primary care physician and health care provider knowl- edge,’’ after ‘‘practice environment,’’. Subsec. (b). Pub. L. 117–328, § 2227(3), inserted ‘‘, such as a community health center or rural health clinic’’ before period at end. Subsec. (c). Pub. L. 117–328, § 2227(4), which directed substitution of ‘‘may require, including—’’ and pars. (1) and (2) for ‘‘by require.’’, was executed by making the substitution for ‘‘may require.’’, to reflect the probable intent of Congress. Subsec. (d). Pub. L. 117–328, § 2227(5), amended subsec. (d) generally. Prior to amendment, text read as follows: ‘‘An eligible entity shall use amounts awarded under a grant or contract under this section to provide innova- tive supportive activities to enhance education through distance learning, continuing educational activities, collaborative conferences, and electronic and tele- learning activities, with priority for primary care.’’ Subsecs. (e), (f). Pub. L. 117–328, § 2227(7), added sub- secs. (e) and (f). Former subsec. (e) redesignated (g). Subsec. (g). Pub. L. 117–328, § 2227(6), (8), redesignated subsec. (e) as (g) and substituted ‘‘fiscal years 2023 through 2025’’ for ‘‘the fiscal years 2010 through 2014, and such sums as may be necessary for each subsequent fiscal year’’. § 294c. Education and training relating to geri- atrics (a) Geriatrics Workforce Enhancement Program (1) In general The Secretary shall award grants, contracts, or cooperative agreements under this sub- section to entities described in paragraph (1), (3), or (4) of section 295p of this title, section 296(2) of this title, or section 298(d) of this title, 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 Pro- gram receiving an award under this section shall support the training of health profes- sionals in geriatrics, including traineeships or fellowships. Such programs shall empha- size, as appropriate, patient and family en- gagement, integration of geriatrics with pri- mary 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 inte- grated geriatrics and primary care deliv- ery services. (ii) Interprofessional training to practi- tioners from multiple disciplines and spe- cialties, including training on the provi- sion of care to older adults. (iii) Establishing or maintaining train- ing-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 agree- ment 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 sub- mit to the Secretary an application at such time, in such manner, and containing such in- formation as the Secretary may require. (5) Program requirements (A) In general In awarding grants, contracts, and cooper- ative agreements under paragraph (1), the Secretary— (i) shall give priority to programs that demonstrate coordination with another Federal or State program or another pub- lic 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 Trib- al organizations; and (iii) may give priority to any program that— (I) integrates geriatrics into primary care practice; (II) provides training to integrate geri- atric care into other specialties across