
From the U.S. Code Online via GPO Access
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[Laws in effect as of January 23, 2000]
[Document not affected by Public Laws enacted between
  January 23, 2000 and December 4, 2001]
[CITE: 42USC293k]

 
                 TITLE 42--THE PUBLIC HEALTH AND WELFARE
 
                    CHAPTER 6A--PUBLIC HEALTH SERVICE
 
               SUBCHAPTER V--HEALTH PROFESSIONS EDUCATION
 
Part C--Training in Family Medicine, General Internal Medicine, General 
   Pediatrics, Physician Assistants, General Dentistry, and Pediatric 
                                Dentistry
 
Sec. 293k. Family medicine, general internal medicine, general 
        pediatrics, general dentistry, pediatric dentistry, and 
        physician assistants
        

(a) Training generally

    The Secretary may make grants to, or enter into contracts with, any 
public or nonprofit private hospital, school of medicine or osteopathic 
medicine, or to or with a public or private nonprofit entity (which the 
Secretary has determined is capable of carrying out such grant or 
contract)--
        (1) to plan, develop, and operate, or participate in, an 
    approved professional training program (including an approved 
    residency or internship program) in the field of family medicine, 
    internal medicine, or pediatrics for medical (M.D. and D.O.) 
    students, interns (including interns in internships in osteopathic 
    medicine), residents, or practicing physicians that emphasizes 
    training for the practice of family medicine, general internal 
    medicine, or general pediatrics (as defined by the Secretary);
        (2) to provide financial assistance (in the form of traineeships 
    and fellowships) to medical (M.D. and D.O.) students, interns 
    (including interns in internships in osteopathic medicine), 
    residents, practicing physicians, or other medical personnel, who 
    are in need thereof, who are participants in any such program, and 
    who plan to specialize or work in the practice of family medicine, 
    general internal medicine, or general pediatrics;
        (3) to plan, develop, and operate a program for the training of 
    physicians who plan to teach in family medicine (including 
    geriatrics), general internal medicine or general pediatrics 
    training programs;
        (4) to provide financial assistance (in the form of traineeships 
    and fellowships) to physicians who are participants in any such 
    program and who plan to teach in a family medicine (including 
    geriatrics), general internal medicine or general pediatrics 
    training program;
        (5) to meet the costs of projects to plan, develop, and operate 
    or maintain programs for the training of physician assistants (as 
    defined in section 295p of this title), and for the training of 
    individuals who will teach in programs to provide such training; and
        (6) to meet the costs of planning, developing, or operating 
    programs, and to provide financial assistance to residents in such 
    programs, of general dentistry or pediatric dentistry.

For purposes of paragraph (6), entities eligible for such grants or 
contracts shall include entities that have programs in dental schools, 
approved residency programs in the general or pediatric practice of 
dentistry, approved advanced education programs in the general or 
pediatric practice of dentistry, or approved residency programs in 
pediatric dentistry.

(b) Academic administrative units

                           (1) In general

        The Secretary may make grants to or enter into contracts with 
    schools of medicine or osteopathic medicine to meet the costs of 
    projects to establish, maintain, or improve academic administrative 
    units (which may be departments, divisions, or other units) to 
    provide clinical instruction in family medicine, general internal 
    medicine, or general pediatrics.

                   (2) Preference in making awards

        In making awards of grants and contracts under paragraph (1), 
    the Secretary shall give preference to any qualified applicant for 
    such an award that agrees to expend the award for the purpose of--
            (A) establishing an academic administrative unit for 
        programs in family medicine, general internal medicine, or 
        general pediatrics; \1\
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    \1\ So in original.
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            (B) substantially expanding the programs of such a unit; or 
        \1\

                    (3) Priority in making awards

        In making awards of grants and contracts under paragraph (1), 
    the Secretary shall give priority to any qualified applicant for 
    such an award that proposes a collaborative project between 
    departments of primary care.

(c) Priority

                           (1) In general

        With respect to programs for the training of interns or 
    residents, the Secretary shall give priority in awarding grants 
    under this section to qualified applicants that have a record of 
    training the greatest percentage of providers, or that have 
    demonstrated significant improvements in the percentage of 
    providers, which enter and remain in primary care practice or 
    general or pediatric dentistry.

                    (2) Disadvantaged individuals

        With respect to programs for the training of interns, residents, 
    or physician assistants, the Secretary shall give priority in 
    awarding grants under this section to qualified applicants that have 
    a record of training individuals who are from disadvantaged 
    backgrounds (including racial and ethnic minorities underrepresented 
    among primary care practice or general or pediatric dentistry).

                      (3) Special consideration

        In awarding grants under this section the Secretary shall give 
    special consideration to projects which prepare practitioners to 
    care for underserved populations and other high risk groups such as 
    the elderly, individuals with HIV-AIDS, substance abusers, homeless, 
    and victims of domestic violence.

(d) Duration of award

    The period during which payments are made to an entity from an award 
of a grant or contract under subsection (a) of this section may not 
exceed 5 years. The provision of such payments shall be subject to 
annual approval by the Secretary of the payments and subject to the 
availability of appropriations for the fiscal year involved to make the 
payments.

(e) Funding

                 (1) Authorization of appropriations

        For the purpose of carrying out this section, there is 
    authorized to be appropriated $78,300,000 for fiscal year 1998, and 
    such sums as may be necessary for each of the fiscal years 1999 
    through 2002.

                           (2) Allocation

        (A) In general

            Of the amounts appropriated under paragraph (1) for a fiscal 
        year, the Secretary shall make available--
                (i) not less than $49,300,000 for awards of grants and 
            contracts under subsection (a) of this section to programs 
            of family medicine, of which not less than $8,600,000 shall 
            be made available for awards of grants and contracts under 
            subsection (b) of this section for family medicine academic 
            administrative units;
                (ii) not less than $17,700,000 for awards of grants and 
            contracts under subsection (a) of this section to programs 
            of general internal medicine and general pediatrics;
                (iii) not less than $6,800,000 for awards of grants and 
            contracts under subsection (a) of this section to programs 
            relating to physician assistants; and
                (iv) not less than $4,500,000 for awards of grants and 
            contracts under subsection (a) of this section to programs 
            of general or pediatric dentistry.

        (B) Ratable reduction

            If amounts appropriated under paragraph (1) for any fiscal 
        year are less than the amount required to comply with 
        subparagraph (A), the Secretary shall ratably reduce the amount 
        to be made available under each of clauses (i) through (iv) of 
        such subparagraph accordingly.

(July 1, 1944, ch. 373, title VII, Sec. 747, as added Pub. L. 102-408, 
title I, Sec. 102, Oct. 13, 1992, 106 Stat. 2042; amended Pub. L. 105-
392, title I, Sec. 102(3), Nov. 13, 1998, 112 Stat. 3537.)


                            Prior Provisions

    A prior section 747 of act July 1, 1944, was classified to section 
294q-3 of this title prior to the general revision of this subchapter by 
Pub. L. 102-408.


                               Amendments

    1998--Pub. L. 105-392, Sec. 102(3)(A), substituted ``Family 
medicine, general internal medicine, general pediatrics, general 
dentistry, pediatric dentistry, and physician assistants'' for ``Family 
medicine'' in section catchline.
    Subsec. (a). Pub. L. 105-392, Sec. 102(3)(B)(iv), (v), (vii), added 
pars. (5) and (6) and concluding provisions.
    Subsec. (a)(1). Pub. L. 105-392, Sec. 102(3)(B)(i), inserted ``, 
internal medicine, or pediatrics'' after ``family medicine'' and 
inserted before semicolon at end ``that emphasizes training for the 
practice of family medicine, general internal medicine, or general 
pediatrics (as defined by the Secretary)''.
    Subsec. (a)(2). Pub. L. 105-392, Sec. 102(3)(B)(ii), inserted ``, 
general internal medicine, or general pediatrics'' before semicolon at 
end.
    Subsec. (a)(3), (4). Pub. L. 105-392, Sec. 102(3)(B)(iii), inserted 
``(including geriatrics), general internal medicine or general 
pediatrics'' after ``family medicine''.
    Subsec. (b)(1), (2)(A). Pub. L. 105-392, Sec. 102(3)(C)(i), inserted 
``, general internal medicine, or general pediatrics'' after ``family 
medicine''.
    Subsec. (b)(3). Pub. L. 105-392, Sec. 102(3)(C)(ii), (iii), added 
par. (3).
    Subsecs. (c) to (e). Pub. L. 105-392, Sec. 102(3)(D), (E), added 
subsec. (c) and redesignated former subsecs. (c) and (d) as (d) and (e), 
respectively.
    Subsec. (e)(1). Pub. L. 105-392, Sec. 102(3)(F)(i), substituted 
``$78,300,000 for fiscal year 1998, and such sums as may be necessary 
for each of the fiscal years 1999 through 2002.'' for ``$54,000,000 for 
each of the fiscal years 1993 through 1995.''
    Subsec. (e)(2). Pub. L. 105-392, Sec. 102(3)(F)(ii), added par. (2) 
and struck out heading and text of former par. (2). Text read as 
follows: ``Of the amounts appropriated under paragraph (1) for a fiscal 
year, the Secretary shall make available not less than 20 percent for 
awards of grants and contracts under subsection (b) of this section.''

                  Section Referred to in Other Sections

    This section is referred to in sections 288, 293l, 295j of this 
title.
