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Congressional Research Service
Version 00 · Introduced in Senate · Mar 14, 1995
TABLE OF CONTENTS: Title I: Health Professions Education and Financial Assistance Programs Subtitle A: Health Professions Education Programs Subtitle B: Nursing Education Subtitle C: Financial Assistance Title II: Office of Minority Health Title III: Selected Initiatives Title IV: Miscellaneous Provisions Health Professions Education Consolidation and Reauthorization Act of 1995 - Title I: Health Professions Education and Financial Assistance Programs - Subtitle A: Health Professions Education Programs - Amends the Public Health Service Act (PHSA) to replace provisions relating to students from disadvantaged backgrounds with provisions mandating grants or contracts to increase the number and quality of disadvantaged health professionals. Authorizes appropriations. Repeals provisions relating to the terms of obligated service under various PHSA health professional education provisions. (Sec. 102) Repeals provisions relating to: (1) area health education center programs; (2) training in general internal medicine, general pediatrics, general dentistry, physician assistants, and podiatric medicine; and (3) related general provisions. Modifies provisions relating to training in family medicine by adding: (1) references to internal medicine and pediatrics; and (2) provisions regarding the training of physician assistants and training in preventive medicine. Authorizes appropriations. (Sec. 103) Replaces provisions relating to training in certain health professions with provisions relating to area health education centers. Authorizes grants and contracts for projects meeting specified criteria. Authorizes grants and contracts for the establishment of geriatric education centers. Authorizes appropriations. (Sec. 104) Removes provisions relating to geriatrics and relating to rural areas. Authorizes grants and contracts to strengthen capacity for health professions education and practice. Authorizes appropriations. Requires (currently, authorizes) expansion of a uniform health professions data reporting system. Extends the termination date of the Council on Graduate Medical Education. Allows use of amounts otherwise appropriated under title VII (Health Professions Education) of the PHSA to be used for the Council's medical education activities. (Sec. 105) Repeals provisions relating to miscellaneous programs, statistics, a biennial report, and certain general provisions. Sets forth general provisions for such title VII. (Sec. 106) Grants funding preference to programs that have graduated less than three classes and meet specified criteria. (Sec. 107) Adds State or local health departments with a severe shortage of public health personnel to the definition of "medically underserved community" for purposes of such title VII. Subtitle B: Nursing Education - Nursing Education Consolidation and Reauthorization Act of 1995 - Replaces title VIII (Nurse Education) of the PHSA (except for provisions relating to student loans (but does remove the authorization of appropriations for student loan funds), the loan repayment program, discrimination on the basis of sex, and certain generally applicable provisions) with provisions relating to application requirements, uses of funds (including maintenance of effort), matching requirements, preference, and generally applicable provisions (including peer review). Establishes the National Advisory Council on Nurse Education and Practice. Allows amounts appropriated under title VIII to be used to support activities of the Council and to provide technical assistance. Provides for recovery for construction assistance if the facility is used or ceases to be used according to requirements. Authorizes grants and contracts for: (1) supporting advanced practice nursing education and practice and traineeships for advanced practice nursing; (2) special projects to increase nursing education opportunities for individuals from disadvantaged racial and ethnic backgrounds underrepresented among registered nurses; and (3) projects to strengthen capacity for basic nurse education and practice. Authorizes appropriations. (Sec. 125) Grants funding preference to programs that have graduated less than three classes and meet specified criteria. Subtitle C: Financial Assistance - Adds references to training in, schools of, and activities related to public health, disease prevention, and health promotion numerous places in provisions authorizing and regulating the National Health Service Corps Loan Repayment Program. Adds references to degrees or graduate training programs in public health to provisions relating to the period of obligated service under the National Health Service Corps Scholarship Program and the Loan Program. Authorizes appropriations to carry out the Scholarship Program and the Loan Program. Allows: (1) grants to States for loan repayment programs to be used for public health disease prevention and health promotion in health professional shortage areas; and (2) a State, in carrying out a State loan repayment program, to accept service in a private clinical practice in a health professional shortage area. Removes provisions authorizing appropriations for grants to States for demonstration programs to increase the availability of primary health care in health professional shortage areas. (Sec. 132) Removes nursing loan repayment program provisions relating to breach of agreements for obligated service and authorizations of appropriations. (Sec. 133) Adds to the definition of "health professional shortage area" State or local health departments with a severe shortage of public health personnel. (Sec. 135) Requires that schools participating in a student loan fund under specified provisions have certain percentages of their graduates over the preceding four (currently, three) years in primary care residency or practice. Requires student loan recipients to practice in primary care for five years after their residency is completed (currently, to practice in primary care until the loan is repaid). (Sec. 136) Authorizes appropriations for Federal capital contributions to student loan funds for individuals from disadvantaged backgrounds. Repeals the authorization provisions on a specified date. (Sec. 137) Allows nursing student loan recipients who failed to make consecutive payments but who have made consecutive payments for the last year to have the repayment period extended a specified period. Provides for breach of agreement to provide services in consideration of receiving Federal funds for nursing education. Modifies requirements regarding the distribution of assets from nursing student loan funds. (Sec. 141) Defers repayment of graduate insured health education assistance loans while the borrower is providing health care services to Indians through an Indian health program. Modifies loan limits. (Sec. 151) Authorizes grants and contracts for scholarships for individuals from disadvantaged backgrounds. Authorizes appropriations. Title II: Office of Minority Health - Revises the duties of the Office of Minority Health and establishes the Advisory Committee on Minority Health. Modifies provisions regulating grants, cooperative agreements, and contracts to carry out the Office's duties. Authorizes appropriations. Title III: Selected Initiatives - Mandates programs on birth defects, including operating regional centers for conducting epidemiological birth defect prevention research. Requires establishment of a National Information Clearinghouse on Birth Defects. Authorizes grants and contracts. (Sec. 302) Authorizes the program for trauma research under specified provisions to make grants or contracts for basic and applied research on traumatic brain injury. Authorizes grants to States for demonstration projects to improve the availability of services regarding traumatic brain injury. Requires matching funds. Authorizes appropriations. Mandates a study on traumatic brain injury and a national consensus conference on managing traumatic brain injury and related rehabilitation concerns. (Sec. 303) Removes a requirement that State contributions of nonfederal matching funds (for the operation of State rural health offices) be in cash. Authorizes appropriations. Increases the aggregate grant amount after which no more grants may be made and repeals, on a specified date, the provisions authorizing the grants. (Sec. 304) Modifies the permitted uses of grants and contracts for serving the health needs of Pacific Islanders. Authorizes appropriations. (Sec. 305) Removes the limits on the number of grants that must be made to States for demonstration projects on Alzheimer's disease or related disorders. Revises project requirements. Removes grant time limits. Authorizes appropriations. Title IV: Miscellaneous Provisions - Authorizes appropriations for carrying out (currently, for making grants under) provisions mandating, directly or through grants, specified activities regarding tuberculosis. (Sec. 402) Authorizes establishment of technical and scientific peer review groups and scientific advisory committees as needed for the Centers for Disease Control and Prevention. Mandates establishment of fellowship and training programs in disease detection and prevention methods. (Sec. 403) Amends the National Institutes of Health Revitalization Act of 1993 to remove provisions prohibiting an entity from spending funds under the Act unless the entity agrees to comply with the Buy American Act. (Sec. 404) Includes in the definition (for purposes of title VII (Health Professions Education) of the PHSA) of "medically underserved community" ambulatory practice sites designated by State Governors and practices or facilities in which not less than 50 percent of the patients are eligible to receive aid under title XIX (Medicaid) of the Social Security Act or are uninsured. Provides for recovery of funds paid in connection with construction of a facility if the facility ceases, during a prescribed period, to be owned or used as required. (Sec. 405) Adds counseling to the list of disciplines in provisions relating to obligatory service in return for traineeships. (Sec. 406) Reduces the amount required to be reserved for grants and contracts for regional centers for research on primates.
People & committees
Sen. Kassebaum, Nancy Landon [R-KS] · R–KS
Legislative record
A procedural vote is different from passage. Passage in one chamber does not establish enactment. Explore the glossary.
Held at the desk.
Message on Senate action sent to the House.
Received in the House.
Passed Senate with an amendment by Unanimous Consent.
Passed/agreed to in Senate: Passed Senate with an amendment by Unanimous Consent.
The committee substitute as amended agreed to by Unanimous Consent.
Measure laid before Senate. (consideration: CR S11670-11695)
Placed on Senate Legislative Calendar under General Orders. Calendar No. 121.
Committee on Labor and Human Resources. Reported to Senate by Senator Kassebaum with an amendment in the nature of a substitute. With written report No. 104-93. Additional views filed.
Committee on Labor and Human Resources. Reported to Senate by Senator Kassebaum with an amendment in the nature of a substitute. With written report No. 104-93. Additional views filed.
Committee on Labor and Human Resources. Ordered to be reported with an amendment in the nature of a substitute favorably.
Read twice and referred to the Committee on Labor and Human Resources.
Sponsor introductory remarks on measure. (CR S3898-3902)
Introduced in Senate
Primary sources
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