42 U.S.C. § 293m — Rural physician training grants

Page 1027 TITLE 42—THE PUBLIC HEALTH AND WELFARE § 293m (C) accreditation by the Accreditation Council for Graduate Medical Education (ACGME), the American Dental Association (ADA), or the American Osteopathic Asso- ciation (AOA); and (D) faculty salaries during the develop- ment phase; and (2) technical assistance provided by an eligi- ble entity. (d) Application A teaching health center seeking a grant under this section shall submit an application to the Secretary at such time, in such manner, and containing such information as the Secretary may require. (e) Preference for certain applications In selecting recipients for grants under this section, the Secretary shall give preference to any such application that documents an existing affiliation agreement with an area health edu- cation center program as defined in sections 294a and 295p of this title. (f) Definitions In this section: (1) Eligible entity The term ‘‘eligible entity’’ means an organi- zation capable of providing technical assist- ance including an area health education cen- ter program as defined in sections 294a and 295p of this title. (2) Primary care residency program The term ‘‘primary care residency program’’ means an approved graduate medical resi- dency training program (as defined in section 256h of this title) in family medicine, internal medicine, pediatrics, internal medicine-pediat- rics, obstetrics and gynecology, psychiatry, general dentistry, pediatric dentistry, and ger- iatrics. (3) Teaching health center (A) In general The term ‘‘teaching health center’’ means an entity that— (i) is a community based, ambulatory pa- tient care center; and (ii) operates a primary care residency program. (B) Inclusion of certain entities Such term includes the following: (i) A Federally qualified health center (as defined in section 1396d(l)(2)(B) of this title). (ii) A community mental health center (as defined in section 1395x(ff)(3)(B) of this title). (iii) A rural health clinic, as defined in section 1395x(aa) of this title. (iv) A health center operated by the In- dian Health Service, an Indian tribe or tribal organization, or an urban Indian or- ganization (as defined in section 1603 of title 25). (v) An entity receiving funds under sub- chapter VIII. (g) Authorization of appropriations There is authorized to be appropriated, $25,000,000 for fiscal year 2010, $50,000,000 for fis- cal year 2011, $50,000,000 for fiscal year 2012, and such sums as may be necessary for each fiscal year thereafter to carry out this section. Not to exceed $5,000,000 annually may be used for tech- nical assistance program grants. (July 1, 1944, ch. 373, title VII, § 749A, as added Pub. L. 111–148, title V, § 5508(a), Mar. 23, 2010, 124 Stat. 668.) SUBPART 2—TRAINING IN UNDERSERVED COMMUNITIES § 293m. Rural physician training grants (a) In general The Secretary, acting through the Adminis- trator of the Health Resources and Services Ad- ministration, shall establish a grant program for the purposes of assisting eligible entities in recruiting students most likely to practice med- icine in underserved rural communities, pro- viding rural-focused training and experience, and increasing the number of recent allopathic and osteopathic medical school graduates who practice in underserved rural communities. (b) Eligible entities In order to be eligible to receive a grant under this section, an entity shall— (1) be a school of allopathic or osteopathic medicine accredited by a nationally recog- nized accrediting agency or association ap- proved by the Secretary for this purpose, or any combination or consortium of such schools; and (2) submit an application to the Secretary that includes a certification that such entity will use amounts provided to the institution as described in subsection (d)(1). (c) Priority In awarding grant funds under this section, the Secretary shall give priority to eligible enti- ties that— (1) demonstrate a record of successfully training students, as determined by the Sec- retary, who practice medicine in underserved rural communities; (2) demonstrate that an existing academic program of the eligible entity produces a high percentage, as determined by the Secretary, of graduates from such program who practice medicine in underserved rural communities; (3) demonstrate rural community institu- tional partnerships, through such mechanisms as matching or contributory funding, docu- mented in-kind services for implementation, or existence of training partners with inter- professional expertise in community health center training locations or other similar fa- cilities; or (4) submit, as part of the application of the entity under subsection (b), a plan for the long-term tracking of where the graduates of such entity practice medicine. (d) Use of funds (1) Establishment An eligible entity receiving a grant under this section shall use the funds made available under such grant to establish, improve, or ex- pand a rural-focused training program (re- 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.)