119-hr5428

[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 5428 Introduced in House

    (IH) ]

<DOC>

119th CONGRESS
 1st Session
 H. R. 5428

To amend the Public Health Service Act to establish a grant program to 
award grants to accredited public institutions of higher education, and 
 for other purposes.

_______________________________________________________________________

 IN THE HOUSE OF REPRESENTATIVES

 September 17, 2025

 Mr. Cole (for himself and Ms. Titus) introduced the following bill; 
 which was referred to the Committee on Energy and Commerce

_______________________________________________________________________

 A BILL

To amend the Public Health Service Act to establish a grant program to 
award grants to accredited public institutions of higher education, and 
 for other purposes.

 Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

 This Act may be cited as the ``Medical Student Education 
Authorization Act of 2025''.

SEC. 2. EDUCATION PROGRAM TO SUPPORT PRIMARY HEALTH CARE FOR MEDICALLY 
 UNDERSERVED COMMUNITIES.

 Part B of title VII of the Public Health Service Act (42 U.S.C. 293 
et seq.) is amended by adding at the end the following:

``

SEC. 742. EDUCATION PROGRAM TO SUPPORT PRIMARY HEALTH CARE FOR 
 MEDICALLY UNDERSERVED COMMUNITIES.

 ``

    (a) Establishment.--The Secretary, acting through the 
Administrator of the Health Resources and Services Administration (in 
this section referred to as the `Secretary') shall establish a grant 
program to award grants to accredited public institutions of higher 
education to carry out the activities described in subsection
            (d) for 
the purposes of--
 ``

    (1) supporting education for medical students who are 
 preparing to become physicians; and
 ``

    (2) preparing and encouraging each such student trained 
 by a grantee to serve in a Tribal, rural, or medically 
 underserved community as a primary care physician after 
 completing residency training.
 ``

    (b) Eligibility.--In order to be eligible to receive a grant 
under this section, an accredited public institution of higher 
education shall--
 ``

    (1) be located in a State that is in the top quartile of 
 States with a projected shortage of primary care physicians, as 
 determined by the Secretary; and
 ``

    (2) submit an application to the Secretary at such time, 
 in such manner, and containing such information as the 
 Secretary may require, that includes--
 ``
        (A) a certification that such institution will 
 use amounts provided to the institution through the 
 grant to carry out the activities described in 
 subsection
            (d) ; and
 ``
        (B) a description of how such institution will 
 carry out such activities.
 ``
            (c) Priority.--In awarding grants under this section, the 
Secretary shall give priority to accredited public institutions of 
higher education that meet the eligibility requirements of subsection

    (b) and--
 ``

    (1) are located in a State with not fewer than 2 Indian 
 Tribes or Tribal organizations (as such terms are defined in 
 

section 4 of the Indian Self-Determination and Education 
 Assistance Act); and
 ``

    (2) have established, or demonstrate plans to establish, 
 a strategic partnership with entities described in subsection
            (d) (4) that supports the purposes described in subsection

    (a) .
 ``
            (d) Use of Funds.--An eligible entity that receives a grant under 
this section shall, as appropriate, use the funds made available under 
such grant to carry out the following activities:
 ``

    (1) Support community-based training for medical students 
 who will practice in or serve Tribal, rural, or medically 
 underserved communities.
 ``

    (2) Develop and operate programs to train medical 
 students in the provision of primary care services, which may 
 include developing training programs and activities that--
 ``
        (A) emphasize care for Tribal, rural, or 
 medically underserved communities;
 ``
        (B) are applicable to primary care practice with 
 respect to individuals from Tribal, rural, or medically 
 underserved communities; and
 ``
            (C) promote interdisciplinary training.
 ``

    (3) Increase the capacity of faculty to develop and 
 operate programs described in paragraph

    (2) .
 ``

    (4) Develop strategic partnerships, such as public-
 private partnerships, to improve health outcomes for 
 individuals from Tribal, rural, or medically underserved 
 communities, which partnerships may include--
 ``
        (A) federally recognized Tribes, Tribal Colleges 
 or Universities (as such term is defined in 

section 316 
 of the Higher Education Act of 1965), and Tribal 
 organizations (as such term is defined in 

section 4 of 
 the Indian Self-Determination and Education Assistance 
 Act);
 ``
        (B) Federally qualified health centers;
 ``
            (C) rural health clinics;
 ``
            (D) health facilities or programs operated by or 
 in accordance with a contract or grant with the Indian 
 Health Service; and
 ``
        (E) primary care clinics.
 ``

    (5) Develop a plan, as appropriate, for followup with 
 graduates, including with respect to specialties, as 
 applicable.
 ``

    (6) Develop, implement, and evaluate methods to improve 
 recruitment and retention of medical students from Tribal, 
 rural, or medically underserved communities.
 ``

    (7) Train and support instructors to serve Tribal, rural, 
 or medically underserved communities.
 ``

    (8) Prepare medical students for transition into primary 
 care residency training and future practice.
 ``

    (9) Provide scholarships to medical students.
 ``

    (e) Grant Period.--A grant under this section shall be awarded 
for a period of not more than 5 years.
 ``

    (f) Grant Amount.--Each fiscal year, the amount of a grant made 
to an eligible entity under this section shall be not less than 
$1,000,000.
 ``

    (g) Matching Requirement.--The Secretary shall, as appropriate, 
require that an eligible entity receiving a grant under this section 
provide non-Federal matching funds, which may be in cash or in kind, in 
an amount that is not more than 10 percent of the total amount of 
Federal funds provided through the grant each fiscal year.
 ``

    (h) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out this section $75,000,000 for each of fiscal 
years 2026 through 2028.''.
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