42 U.S.C. § 294 — General provisions

Page 1028 TITLE 42—THE PUBLIC HEALTH AND WELFARE §§ 293n to 293p ferred to in this section as the ‘‘Program’’) meeting the requirements described in this subsection and to carry out such program. (2) Structure of Program An eligible entity shall— (A) enroll no fewer than 10 students per class year into the Program; and (B) develop criteria for admission to the Program that gives priority to students— (i) who have originated from or lived for a period of 2 or more years in an under- served rural community; and (ii) who express a commitment to prac- tice medicine in an underserved rural com- munity. (3) Curricula The Program shall require students to enroll in didactic coursework and clinical experience particularly applicable to medical practice in underserved rural communities, including— (A) clinical rotations in underserved rural communities, and in applicable specialties, or other coursework or clinical experience deemed appropriate by the Secretary; and (B) in addition to core school curricula, additional coursework or training experi- ences focused on medical issues prevalent in underserved rural communities. (4) Residency placement assistance Where available, the Program shall assist all students of the Program in obtaining clinical training experiences in locations with post- graduate programs offering residency training opportunities in underserved rural commu- nities, or in local residency training programs that support and train physicians to practice in underserved rural communities. (5) Program student cohort support The Program shall provide and require all students of the Program to participate in group activities designed to further develop, maintain, and reinforce the original commit- ment of such students to practice in an under- served rural community. (e) Annual reporting An eligible entity receiving a grant under this section shall submit an annual report to the Secretary on the success of the Program, based on criteria the Secretary determines appro- priate, including the residency program selec- tion of graduating students who participated in the Program. (f) Regulations Not later than 60 days after March 23, 2010, the Secretary shall by regulation define ‘‘under- served rural community’’ for purposes of this section. (g) Supplement not supplant Any eligible entity receiving funds under this section shall use such funds to supplement, not supplant, any other Federal, State, and local funds that would otherwise be expended by such entity to carry out the activities described in this section. (h) Maintenance of effort With respect to activities for which funds awarded under this section are to be expended, the entity shall agree to maintain expenditures of non-Federal amounts for such activities at a level that is not less than the level of such ex- penditures maintained by the entity for the fis- cal year preceding the fiscal year for which the entity receives a grant under this section. (i) Authorization of appropriations There are authorized to be appropriated $4,000,000 for each of the fiscal years 2010 through 2013. (July 1, 1944, ch. 373, title VII, § 749B, as added Pub. L. 111–148, title X, § 10501(l)(2), Mar. 23, 2010, 124 Stat. 1000.) Editorial Notes PRIOR PROVISIONS A prior section 293m, act July 1, 1944, ch. 373, title VII, § 749, as added Pub. L. 102–408, title I, § 102, Oct. 13, 1992, 106 Stat. 2043, authorized grants and contracts for development of programs in general practice of den- tistry, prior to repeal by Pub. L. 105–392, title I, § 102(4), Nov. 13, 1998, 112 Stat. 3539. §§ 293n to 293p. Repealed. Pub. L. 105–392, title I, § 102(4), Nov. 13, 1998, 112 Stat. 3539 Section 293n, act July 1, 1944, ch. 373, title VII, § 750, as added Pub. L. 102–408, title I, § 102, Oct. 13, 1992, 106 Stat. 2044, authorized grants and contracts for develop- ment of training programs for physician assistants. Section 293o, act July 1, 1944, ch. 373, title VII, § 751, as added Pub. L. 102–408, title I, § 102, Oct. 13, 1992, 106 Stat. 2044, authorized grants and contracts for imple- mentation of training projects for podiatric physicians. Section 293p, act July 1, 1944, ch. 373, title VII, § 752, as added Pub. L. 102–408, title I, § 102, Oct. 13, 1992, 106 Stat. 2045, set forth general provisions relating to traineeships and fellowships. PART D—INTERDISCIPLINARY, COMMUNITY-BASED LINKAGES § 294. General provisions (a) Collaboration To be eligible to receive assistance under this part, an academic institution shall use such as- sistance in collaboration with 2 or more dis- ciplines. (b) Activities An entity shall use assistance under this part to carry out innovative demonstration projects for strategic workforce supplementation activi- ties as needed to meet national goals for inter- disciplinary, community-based linkages. Such assistance may be used consistent with this part— (1) to develop and support training pro- grams; (2) for faculty development; (3) for model demonstration programs; (4) for the provision of stipends for fellow- ship trainees; (5) to provide technical assistance; and (6) for other activities that will produce out- comes consistent with the purposes of this part. (July 1, 1944, ch. 373, title VII, § 750, as added Pub. L. 105–392, title I, § 103, Nov. 13, 1998, 112 Stat. 3541.) Page 1029 TITLE 42—THE PUBLIC HEALTH AND WELFARE § 294a Editorial Notes PRIOR PROVISIONS A prior section 294, act July 1, 1944, ch. 373, title VII, § 761, as added Pub. L. 102–408, title I, § 102, Oct. 13, 1992, 106 Stat. 2045; amended Pub. L. 103–43, title XX, § 2014(e), June 10, 1993, 107 Stat. 217, authorized grants for traineeships in health professions fields experi- encing severe shortages of health professionals, prior to the general amendment of this part by Pub. L. 105–392. Another prior section 294, act July 1, 1944, ch. 373, title VII, § 727, as added Oct. 12, 1976, Pub. L. 94–484, title IV, § 401(b)(3), 90 Stat. 2257; amended Dec. 19, 1977, Pub. L. 95–215, § 4(e)(1), 91 Stat. 1506, stated purpose of and authorized appropriations for Federal program of student loan insurance, prior to the general amend- ment of this subchapter by Pub. L. 102–408. See sections 292 and 292p of this title. Another prior section 294, act July 1, 1944, ch. 373, title VII, § 740, as added Sept. 24, 1963, Pub. L. 88–129, § 2(b), 77 Stat. 170; amended Oct. 13, 1964, Pub. L. 88–654, § 1(a), (b), 78 Stat. 1086; Oct. 22, 1965, Pub. L. 89–290, §§ 2(b), 4(a), (f)(1), (2), 79 Stat. 1056 to 1058; Nov. 2, 1966, Pub. L. 89–709, § 3(a), (b), 80 Stat. 1103; Nov. 3, 1966, Pub. L. 89–751, § 5(c)(1), 80 Stat. 1232; Aug. 16, 1968, Pub. L. 90–490, title I § 121(a)(1), (2), (5)(B), 82 Stat. 777, 778; Nov. 18, 1971, Pub. L. 92–157, title I, § 105(e)(1), (4), (f)(2), 85 Stat. 451; Aug. 23, 1974, Pub. L. 93–385, § 2(b), 88 Stat. 741; Apr. 22, 1976, Pub. L. 94–278, title XI, 1105(b), 90 Stat. 416; Oct. 12, 1976, Pub. L. 94–484, title IV, § 402, 90 Stat. 2266, which related to loan agreements for the estab- lishment of student loan funds, was transferred to sec- tion 294m of this title. A prior section 750 of act July 1, 1944, was classified to section 293n of this title prior to repeal by Pub. L. 105–392. § 294a. Area health education centers (a) Establishment of awards The Secretary shall make the following 2 types of awards in accordance with this section: (1) Infrastructure development award The Secretary shall make awards to eligible entities to enable such entities to initiate health care workforce educational programs or to continue to carry out comparable pro- grams that are operating at the time the award is made by planning, developing, oper- ating, and evaluating an area health education center program. (2) Point of service maintenance and enhance- ment award The Secretary shall make awards to eligible entities to maintain and improve the effec- tiveness and capabilities of an existing area health education center program, and make other modifications to the program that are appropriate due to changes in demographics, needs of the populations served, or other simi- lar issues affecting the area health education center program. For the purposes of this sec- tion, the term ‘‘Program’’ refers to the area health education center program. (b) Eligible entities; application (1) Eligible entities (A) Infrastructure development For purposes of subsection (a)(1), the term ‘‘eligible entity’’ means a school of medicine or osteopathic medicine, an incorporated consortium of such schools, or the parent in- stitutions of such a school. With respect to a State in which no area health education center program is in operation, the Sec- retary may award a grant or contract under subsection (a)(1) to a school of nursing. (B) Point of service maintenance and en- hancement For purposes of subsection (a)(2), the term ‘‘eligible entity’’ means an entity that has received funds under this section, is oper- ating an area health education center pro- gram, including an area health education center or centers, and has a center or cen- ters that are no longer eligible to receive fi- nancial assistance under subsection (a)(1). (2) 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 Secretary may require. (c) Use of funds (1) Required activities An eligible entity shall use amounts award- ed under a grant under subsection (a)(1) or (a)(2) to carry out the following activities: (A) Develop and implement strategies, in coordination with the applicable one-stop delivery system under section 3151(e) of title 29, to recruit individuals from underrep- resented minority populations or from dis- advantaged or rural backgrounds into health professions, and support such individuals in attaining such careers. (B) Develop and implement strategies to foster and provide community-based train- ing and education to individuals seeking ca- reers in health professions within under- served areas for the purpose of developing and maintaining a diverse health care work- force that is prepared to deliver high-quality care, with an emphasis on primary care, in underserved areas or for health disparity populations, in collaboration with other Federal and State health care workforce de- velopment programs, the State workforce agency, and local workforce investment boards, and in health care safety net sites. (C) Prepare individuals to more effectively provide health services to underserved areas and health disparity populations through field placements or preceptorships in con- junction with community-based organiza- tions, accredited primary care residency training programs, Federally qualified health centers, rural health clinics, public health departments, or other appropriate fa- cilities. (D) Conduct and participate in inter- disciplinary training that involves physi- cians, physician assistants, nurse practi- tioners, nurse midwives, dentists, psycholo- gists, pharmacists, optometrists, commu- nity health workers, public and allied health professionals, or other health professionals, as practicable. (E) Deliver or facilitate continuing edu- cation and information dissemination pro- grams for health care professionals, with an emphasis on individuals providing care in