42 U.S.C. § 293d — Authorization of appropriation

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. Page 1020 TITLE 42—THE PUBLIC HEALTH AND WELFARE § 293e 1 So in original. Act July 1, 1944, does not contain a section 270. 2 So in original. AMENDMENTS 2020—Subsec. (a). Pub. L. 116–136, § 3401(2)(A), sub- stituted ‘‘$51,470,000 for each of fiscal years 2021 through 2025’’ for ‘‘$51,000,000 for fiscal year 2010, and such sums as may be necessary for each of the fiscal years 2011 through 2014’’. Subsec. (b). Pub. L. 116–136, § 3401(2)(B), substituted ‘‘$1,190,000 for each of fiscal years 2021 through 2025’’ for ‘‘$5,000,000 for each of the fiscal years 2010 through 2014’’. Subsec. (c). Pub. L. 116–136, § 3401(2)(C), substituted ‘‘$15,000,000 for each of fiscal years 2021 through 2025’’ for ‘‘$60,000,000 for fiscal year 2010 and such sums as may be necessary for each of the fiscal years 2011 through 2014’’. Subsec. (d). Pub. L. 116–136, § 3401(2)(D), which di- rected substitution of ‘‘Not later than September 30, 2025, and every five years thereafter, the Secretary shall prepare 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,’’ for ‘‘Not Later than 6 months after November 13, 1998, the Secretary shall prepare and sub- mit to the appropriate committees of Congress’’, was executed by making the substitution for ‘‘Not later than 6 months after November 13, 1998, the Secretary shall prepare and submit to the appropriate commit- tees of Congress’’, to reflect the probable intent of Con- gress. 2010—Subsec. (a). Pub. L. 111–148, § 5402(b), substituted ‘‘$51,000,000 for fiscal year 2010, and such sums as may be necessary for each of the fiscal years 2011 through 2014’’ for ‘‘$37,000,000 for fiscal year 1998, and such sums as may be necessary for each of the fiscal years 1999 through 2002’’. Subsec. (b). Pub. L. 111–148, § 5402(c), substituted ‘‘ap- propriated, $5,000,000 for each of the fiscal years 2010 through 2014’’ for ‘‘appropriated $1,100,000 for fiscal year 1998, and such sums as may be necessary for each of the fiscal years 1999 through 2002’’. Subsec. (c). Pub. L. 111–148, § 5402(d), substituted ‘‘For the purpose of grants and contracts under section 293c(a)(1) of this title, there is authorized to be appro- priated $60,000,000 for fiscal year 2010 and such sums as may be necessary for each of the fiscal years 2011 through 2014’’ for ‘‘For the purpose of grants and con- tracts under section 293c(a)(1) of this title, there is au- thorized to be appropriated $29,400,000 for fiscal year 1998, and such sums as may be necessary for each of the fiscal years 1999 through 2002’’. § 293e. Grants for health professions education (a) Cultural competency, prevention, and public health and individuals with disability grants (1) In general The Secretary, acting through the Adminis- trator of the Health Resources and Services Administration, may make awards of grants, contracts, or cooperative agreements to public and nonprofit private entities (including tribal entities) for the development, evaluation, and dissemination of research, demonstration projects, and model curricula for cultural competency, prevention, public health pro- ficiency, reducing health disparities, and apti- tude for working with individuals with disabil- ities training for use in health professions schools and continuing education programs, and for other purposes determined as appro- priate by the Secretary. (2) Eligible entities Unless specifically required otherwise in this subchapter, the Secretary shall accept appli- cations for grants or contracts under this sec- tion from health professions schools, academic health centers, State or local governments, or other appropriate public or private nonprofit entities (or consortia of entities, including en- tities promoting multidisciplinary ap- proaches) for funding and participation in health professions training activities. The Secretary may accept applications from for- profit private entities as determined appro- priate by the Secretary. (b) Collaboration In carrying out subsection (a), the Secretary shall collaborate with health professional soci- eties, licensing and accreditation entities, health professions schools, and experts in minor- ity health and cultural competency, prevention, and public health and disability groups, commu- nity-based organizations, and other organiza- tions as determined appropriate by the Sec- retary. The Secretary shall coordinate with cur- ricula and research and demonstration projects developed under section 296e–1 of this title. (c) Dissemination (1) In general Model curricula developed under this section shall be disseminated through the Internet Clearinghouse under section 270 1 and such other means as determined appropriate by the Secretary. (2) Evaluation The Secretary shall evaluate the adoption and the implementation of cultural com- petency, prevention, and public health, and working with individuals with a disability training curricula, and the facilitate 2 inclu- sion of these competency measures in quality measurement systems as appropriate. (d) Authorization of appropriations There is authorized to be appropriated to carry out this section such sums as may be nec- essary for each of fiscal years 2010 through 2015. (July 1, 1944, ch. 373, title VII, § 741, as added Pub. L. 106–525, title IV, § 401(a), Nov. 22, 2000, 114 Stat. 2508; amended Pub. L. 111–148, title V, § 5307(a), Mar. 23, 2010, 124 Stat. 628.) Editorial Notes PRIOR PROVISIONS A prior section 293e, act July 1, 1944, ch. 373, title VII, § 725, formerly § 728, as added Sept. 24, 1963, Pub. L. 88–129, § 2(b), 77 Stat. 170; amended Sept. 4, 1964, Pub. L. 88–581, § 3(d), 78 Stat. 919; Nov. 18, 1971, Pub. L. 92–157, title I, § 102(i), 85 Stat. 436; renumbered § 725, Oct. 12, 1976, Pub. L. 94–484, title III, § 308(d), 90 Stat. 2257, re- lated to technical assistance to applicants for grants for construction of teaching facilities for medical, den- tal, and other health personnel, and to States or inter- state planning agencies to plan programs for relieving shortages of training of health personnel, prior to the general amendment of this subchapter by Pub. L. 102–408, title I, § 102, Oct. 13, 1992, 106 Stat. 1994. Another prior section 293e, act July 1, 1944, ch. 373, title VII, § 702, formerly § 725, as added Sept. 24, 1963, Pub. L. 88–129, § 2(b), 77 Stat. 169; amended Sept. 4, 1964, Pub. L. 88–581, § 3(c), 78 Stat. 919; Nov. 2, 1966, Pub. L.