[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 5370 Introduced in House (IH)]
<DOC>
119th CONGRESS
1st Session
H. R. 5370
To provide low-income individuals with opportunities to enter and
follow a career pathway in the health professions, and for other
purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
September 16, 2025
Mr. Davis of Illinois (for himself, Mr. Neal, Mr. Doggett, Mr. Thompson
of California, Mr. Larson of Connecticut, Ms. Sewell, Ms. Chu, Ms.
Moore of Wisconsin, Mr. Boyle of Pennsylvania, Mr. Evans of
Pennsylvania, Mr. Schneider, Mr. Panetta, Mr. Horsford, Mr. Gomez, Ms.
Plaskett, and Mr. Suozzi) introduced the following bill; which was
referred to the Committee on Ways and Means
_______________________________________________________________________
A BILL
To provide low-income individuals with opportunities to enter and
follow a career pathway in the health professions, 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 section may be cited as the ``Pathways to Health Careers
Act''.
SEC. 2. CAREER PATHWAYS THROUGH HEALTH PROFESSION OPPORTUNITY GRANTS.
Effective October 1, 2025, section 2008 of the Social Security Act
(42 U.S.C. 1397g) is amended to read as follows:
``SEC. 2008. CAREER PATHWAYS THROUGH HEALTH PROFESSION OPPORTUNITY
GRANTS.
``(a) Application Requirements.--An eligible entity desiring a
grant under this section for a project shall submit to the Secretary an
application for the grant, that includes the following:
``(1) A description of how the applicant will use a career
pathways approach to train eligible individuals for health
professions that pay well or will put eligible individuals on a
career path to an occupation that pays well, under the project.
``(2) A description of the adult basic education and
literacy activities, work readiness activities, training
activities, and case management and career coaching services
that the applicant will use to assist eligible individuals to
gain work experience, connection to employers, and job
placement, and a description of the plan for recruiting,
hiring, and training staff to provide the case management,
mentoring, and career coaching services, under the project
directly or through local governmental, apprenticeship,
educational, or charitable institutions.
``(3) In the case of an application for a grant under this
section for a demonstration project described in subsection
(c)(2)(B)(i)(I)--
``(A) a demonstration that the State in which the
demonstration project is to be conducted has in effect
policies or laws that permit certain allied health and
behavioral health care credentials to be awarded to
people with certain arrest or conviction records (which
policies or laws shall include appeals processes,
waivers, certificates, and other opportunities to
demonstrate rehabilitation to obtain credentials,
licensure, and approval to work in the proposed health
careers), and a plan described in the application that
will use a career pathway to assist participants with
such a record in acquiring credentials, licensing, and
employment in the specified careers;
``(B) a discussion of how the project or future
strategic hiring decisions will demonstrate the
experience and expertise of the project in working with
job seekers who have arrest or conviction records or
employers with experience working with people with
arrest or conviction records;
``(C) an identification of promising innovations or
best practices that can be used to provide the
training;
``(D) a proof of concept or demonstration that the
applicant has done sufficient research on workforce
shortage or in-demand jobs for which people with
certain types of arrest or conviction records can be
hired;
``(E) a plan for recruiting students who are
eligible individuals into the project; and
``(F) a plan for providing post-employment support
and ongoing training as part of a career pathway under
the project.
``(4) In the case of an application for a grant under this
section for a demonstration project described in subsection
(c)(2)(B)(i)(II)--
``(A) a description of the partnerships, strategic
staff hiring decisions, tailored program activities, or
other programmatic elements of the project, such as
training plans for doulas and other community health
workers and training plans for midwives and other
allied health professions, that are designed to support
a career pathway in pregnancy, birth, or postpartum
services; and
``(B) a demonstration that the State in which the
demonstration project is to be conducted recognizes
doulas or midwives, as the case may be.
``(5) A demonstration that the applicant has experience
working with low-income populations, or a description of the
plan of the applicant to work with a partner organization that
has the experience.
``(6) A plan for providing post-employment support and
ongoing training as part of a career pathway under the project.
``(7) A description of the support services that the
applicant will provide under the project, including a plan for
how child care and transportation support services will be
guaranteed and, if the applicant will provide a cash stipend or
wage supplement, how the stipend or supplement would be
calculated and distributed.
``(8) A certification by the applicant that the project
development included--
``(A) consultation with a local workforce
development board established under section 107 of the
Workforce Innovation and Opportunity Act;
``(B) consideration of apprenticeship and pre-
apprenticeship models registered under the Act of
August 16, 1937 (also known as the `National
Apprenticeship Act');
``(C) consideration of career pathway programs in
the State in which the project is to be conducted; and
``(D) a review of the State plan under section 102
or 103 of the Workforce Innovation and Opportunity Act.
``(9) A description of the availability and relevance of
recent labor market information and other pertinent evidence of
in-demand jobs or worker shortages.
``(10) A certification that the applicant will directly
provide or contract for the training services described in the
application.
``(11) A commitment by the applicant that, if the grant is
made to the applicant, the applicant will--
``(A) during the planning period for the project,
provide the Secretary with any information needed by
the Secretary to establish adequate data reporting and
administrative structure for the project;
``(B) hire staff to direct the project not later
than the end of the planning period applicable to the
project;
``(C) accept all technical assistance offered by
the Secretary with respect to the grant;
``(D) participate in peer technical assistance
conferences as are regularly scheduled by the
Secretary; and
``(E) provide all data required by the Secretary
under subsection (g).
``(b) Preferences in Considering Applications.--In considering
applications for a grant under this section, the Secretary shall give
preference to--
``(1) applications submitted by applicants to whom a grant
was made under this section or any predecessor to this section;
``(2) applications submitted by applicants who have
business and community partners in each of the following
categories:
``(A) State and local government agencies and
social service providers, including a State or local
entity that administers a State program funded under
part A of this title;
``(B) institutions of higher education,
apprenticeship programs, and local workforce
development boards established under section 107 of the
Workforce Innovation and Opportunity Act; and
``(C) health care employers, health care industry
or sector partnerships, labor unions, and labor-
management partnerships;
``(3) applications that include opportunities for mentoring
or peer support, and make career coaching available, as part of
the case management plan;
``(4) applications which describe a project that will serve
a rural area in which--
``(A) the community in which the individuals to be
enrolled in the project reside is located;
``(B) the project will be conducted; or
``(C) an employer partnership that has committed to
hiring individuals who successfully complete all
activities under the project is located;
``(5) applications that include a commitment to providing
project participants with a cash stipend or wage supplement;
and
``(6) applications which have an emergency cash fund to
assist project participants financially in emergency
situations.
``(c) Grants.--
``(1) Competitive grants.--
``(A) Grant authority.--
``(i) In general.--The Secretary, in
consultation with the Secretary of Labor and
the Secretary of Education, shall make a grant
in accordance with this paragraph to an
eligible entity whose application for the grant
meets the applicable requirements of subsection
(a) and is approved by the Secretary, to
conduct a project designed to train low-income
individuals for allied health professions,
health information technology, physicians
assistants, nursing assistants, registered
nurse, advanced practice nurse, emergency
medical technicians, paramedics, and other
professions considered part of a health care
career pathway model.
``(ii) Guarantee of grantees in each state
and the district of columbia.--For each grant
cycle, the Secretary shall award a grant under
this paragraph to at least 2 eligible entities
in each State that is not a territory, to the
extent there are a sufficient number of
applications submitted by the entities that
meet the requirements applicable with respect
to such a grant. If, for a grant cycle, there
are fewer than 2 such eligible entities in a
State, the Secretary shall include that
information in the report required by
subsection (g)(2) that covers the fiscal year.
``(B) Guarantee of grants for indian populations.--
From the amount reserved under subsection (i)(2)(B) for
each fiscal year, the Secretary shall award a grant
under this paragraph to at least 10 eligible entities
that are an Indian tribe, a tribal organization, or a
tribal college or university, to the extent there are a
sufficient number of applications submitted by the
entities that meet the requirements applicable with
respect to such a grant.
``(C) Guarantee of grantees in the territories.--
From the amount reserved under subsection (i)(2)(C) for
each fiscal year, the Secretary shall award a grant
under this paragraph to at least 2 eligible entities
that are located in a territory, to the extent there
are a sufficient number of applications submitted by
the entities that meet the requirements applicable with
respect to such a grant.
``(2) Grants for demonstration projects.--
``(A) Grant authority.--The Secretary, in
consultation with the Secretary of Labor and the
Secretary of Education (and, with respect to
demonstration projects of the type described in
subparagraph (B)(i)(I), the Attorney General) shall
make a grant in accordance with this subsection to an
eligible entity whose application for the grant is
approved by the Secretary, to conduct a demonstration
project that meets the requirements of subparagraph
(B).
``(B) Requirements.--The requirements of this
subparagraph are the following:
``(i) Type of project.--The demonstration
project shall be of 1 of the following types:
``(I) Individuals with arrest or
conviction records demonstration.--The
demonstration project shall be of a
type designed to provide education and
training for eligible individuals with
arrest or conviction records to enter
and follow a career pathway in the
health professions through occupations
that pay well and are expected to
experience a labor shortage or be in
high demand.
``(II) Maternal mortality career
pathway demonstration.--The
demonstration project shall be of a
type designed to provide education and
training for eligible individuals to
enter and follow a career pathway in
the field of pregnancy, childbirth, and
postpartum, in a State that recognizes
doulas or midwives and that provides
payment for services provided by doulas
or midwives, as the case may be, under
private or public health insurance
plans.
``(ii) Duration.--The demonstration project
shall be conducted for not less than 5 years.
``(C) Minimum allocation of funds for each type of
demonstration project.--
``(i) Individuals with arrest or conviction
records demonstrations.--Not less than 25
percent of the amounts made available for
grants under this paragraph shall be used to
make grants for demonstration projects of the
type described in subparagraph (B)(i)(I).
``(ii) Maternal mortality career pathway
demonstrations.--Not less than 25 percent of
the amounts made available for grants under
this paragraph shall be used to make grants for
demonstration projects of the type described in
subparagraph (B)(i)(II).
``(3) Grant cycle.--The grant cycle under this section
shall be not less than 5 years, with a planning period of not
more than the 1st 12 months of the grant cycle. During the
planning period, the amount of the grant shall be in such
lesser amount as the Secretary determines appropriate.
``(d) Use of Grant.--
``(1) In general.--An entity to which a grant is made under
this section shall use the grant in accordance with the
approved application for the grant.
``(2) Support to be provided.--
``(A) Required support.--A project for which a
grant is made under this section shall include the
following:
``(i) An assessment for adult basic skill
competency, and provision of adult basic skills
education if necessary for lower-skilled
eligible individuals to enroll in the project
and go on to enter and complete post-secondary
training, through means including the
following:
``(I) Establishing a network of
partners that offer pre-training
activities for project participants who
need to improve basic academic skills
or English language proficiency before
entering a health occupational training
career pathway program.
``(II) Offering resources to enable
project participants to continue
advancing adult basic skill proficiency
while enrolled in a career pathway
program.
``(III) Embedding adult basic skill
maintenance as part of ongoing post-
graduation career coaching and
mentoring.
``(ii) A guarantee that child care is an
available and affordable support service for
project participants through means such as the
following:
``(I) Referral to, and assistance
with, enrollment in a subsidized child
care program.
``(II) Direct payment to a child
care provider if a slot in a subsidized
child care program is not available or
reasonably accessible.
``(III) Payment of co-payments or
associated fees for child care.
``(iii) Case management plans that include
career coaching (with the option to offer
appropriate peer support and mentoring
opportunities to help develop soft skills and
social capital), which may be offered on an
ongoing basis before, during, and after initial
training as part of a career pathway model.
``(iv) A plan to provide project
participants with transportation through means
such as the following:
``(I) Referral to, and assistance
with enrollment in, a subsidized
transportation program.
``(II) If a subsidized
transportation program is not
reasonably available, direct payments
to subsidize transportation costs.
``(v) In the case of a demonstration
project of the type described in subsection
(c)(2)(B)(i)(I), access to legal assistance for
project participants for the purpose of
addressing arrest or conviction records and
associated workforce barriers.
``(B) Allowed support.--The goods and services
provided under a project for which a grant is made
under this section may include the following:
``(i) A cash stipend.
``(ii) A reserve fund for financial
assistance to project participants in emergency
situations.
``(iii) Tuition, and training materials
such as books, software, uniforms, shoes, and
hair nets, and personal protective equipment.
``(iv) In-kind resource donations such as
interview clothing and conference attendance
fees.
``(v) Assistance with accessing and
completing high school equivalency or adult
basic education courses as necessary to achieve
success in the project and make progress toward
career goals.
``(vi) Assistance with programs and
activities, including legal assistance, deemed
necessary to address arrest or conviction
records as an employment barrier.
``(vii) Other support services as deemed
necessary for family well-being, success in the
project, and progress toward career goals.
``(3) Training.--A project for which a grant is made under
this section shall train project participants to earn a
recognized postsecondary credential (including an industry-
recognized credential, and a certificate awarded by a local
workforce development board established under section 107 of
the Workforce Innovation and Opportunity Act) that is awarded
in recognition of attainment of measurable technical or
occupational skills necessary to gain employment or advance
within an occupation, and shall provide each project
participant with a number of hours of the training equal to--
``(A) not less than the number of hours of training
required for certification in that level of skill by
the State in which the project is conducted; or
``(B) if there is no such requirement, such number
of hours of training as the Secretary finds is
necessary to achieve that skill level.
``(4) Inclusion of tanf recipients.--In the case of a
project for which a grant is made under this section that is
conducted in a State that has a program funded under part A of
title IV, at least 10 percent of the eligible individuals to
whom support is provided under the project shall meet the
income eligibility requirements under that State program,
without regard to whether the individuals receive benefits or
services directly under that State program.
``(5) Income limitation.--An entity to which a grant is
made under this section shall not use the grant to provide
support to a person who is not an eligible individual.
``(6) Prohibition.--An entity to which a grant is made
under this section shall not use the grant for purposes of
entertainment, except that case management and career coaching
services may include celebrations of specific career-based
milestones such as completing a semester, graduation, or job
placement.
``(e) Income Disregard.--Amounts paid to an eligible individual as
a cash stipend or as emergency assistance under a project for which a
grant is made under this section shall not be considered income for any
purpose under the Internal Revenue Code of 1986, and an entity making
such a payment shall not be required to submit an information return
under subtitle F of such Code with respect to the payment.
``(f) Technical Assistance.--
``(1) In general.--The Secretary shall provide technical
assistance--
``(A) to assist eligible entities in applying for
grants under this section;
``(B) that is tailored to meet the needs of
grantees at each stage of the administration of
projects for which grants are made under this section;
``(C) that is tailored to meet the specific needs
of Indian tribes, tribal organizations, and tribal
colleges and universities;
``(D) that is tailored to meet the specific needs
of the territories;
``(E) that is tailored to meet the specific needs
of eligible entities in carrying out demonstration
projects for which a grant is made under this section;
and
``(F) to facilitate the exchange of information
among eligible entities regarding best practices and
promising practices used in the projects.
``(2) Peer technical assistance conferences.--The Secretary
shall hold peer technical assistance conferences for entities
to which a grant is made under this section or was made under
the immediate predecessor of this section.
``(g) Evaluation of Demonstration Projects.--
``(1) In general.--The Secretary shall, by grant, contract,
or interagency agreement, conduct rigorous and well-designed
evaluations of the demonstration projects for which a grant is
made under this section.
``(2) Requirement applicable to individuals with arrest or
conviction records demonstration.--In the case of a project of
the type described in subsection (c)(2)(B)(i)(I), the
evaluation shall include identification of successful
activities for creating opportunities for developing and
sustaining, particularly with respect to low-income individuals
with arrest or conviction records, a health professions
workforce that has accessible entry points, that meets high
standards for education, training, certification, and
professional development, and that provides increased wages and
affordable benefits, including health care coverage, that are
responsive to the needs of the workforce.
``(3) Requirement applicable to maternal mortality career
pathway demonstration.--In the case of a project of the type
described in subsection (c)(2)(B)(i)(II), the evaluation shall
include identification of successful activities for creating
opportunities for developing and sustaining, particularly with
respect to low-income individuals and other entry-level
workers, a career pathway that has accessible entry points,
that meets high standards for education, training,
certification, and professional development, and that provides
increased wages and affordable benefits, including health care
coverage, that are responsive to the needs of the birth,
pregnancy, and postpartum workforce.
``(4) Rule of interpretation.--Evaluations conducted
pursuant to this subsection may include a randomized controlled
trial, but this subsection shall not be interpreted to require
an evaluation to include such a trial.
``(h) Reports to the Secretary.--An eligible entity awarded a grant
to conduct a project under this section shall submit interim reports to
the Secretary on the activities carried out under the project, and, on
the conclusion of the project, a final report on the activities. Each
such report shall include data on participant outcomes related to
graduation rate, graduation timeliness, credential attainment,
employment in health professions, overall employment, earnings,
participant demographics, and other data specified by the Secretary.
``(i) Funding.--
``(1) In general.--Out of any funds in the Treasury of the
United States not otherwise appropriated, there are
appropriated to the Secretary to carry out this section
$435,000,000 for each of fiscal years 2026 through 2030, of
which $10,000,000 for each fiscal year shall be reserved to
supplement the cost of employing or retaining at least 25
career civil servants at the Administration for Children and
Families for the purpose of administering and evaluating the
activities carried out under this section.
``(2) Allocation of funds.--Of the amount appropriated for
a fiscal year under paragraph (1) of this subsection that is
not reserved--
``(A) 75 percent shall be available for grants
under subsection (c)(1)(A);
``(B) 4 percent shall be reserved for grants under
subsection (c)(1)(B);
``(C) 5 percent shall be reserved for grants under
subsection (c)(1)(C);
``(D) 6 percent shall be available for
demonstration project grants under subsection (c)(2);
``(E) 6 percent, plus all amounts referred to in
subparagraphs (A) through (D) of this paragraph that
remain unused after all grant awards are made for the
fiscal year, shall be available for the provision of
technical assistance and sufficient staffing to ensure
that the technical assistance and related support is
locally informed and provided to grantees in a timely
manner; and
``(F) 4 percent shall be available for--
``(i) studying the effects of the
demonstration and non-demonstration projects
for which a grant is made under this section;
``(ii) carrying out the `Analysis Plan for
HPOG 2.0 National Evaluation Longer-Term Impact
Report', published by the Administration for
Children and Families, as planned;
``(iii) submitting to the Congress annual
progress reports on carrying out that plan; and
``(iv) associated staffing for the purpose
of supporting--
``(I) the rigorous evaluation of
the demonstration projects; and
``(II) the continued study of the
short-, medium-, and long-term effects
of all such projects, including the
effectiveness of specific elements of
the non-demonstration projects.
``(3) Administration.--In employing and retaining career
civil servants pursuant to paragraph (1), the Secretary shall
give priority to persons with prior experience conducting or
overseeing relevant research and evaluation, prior experience
working for the Department of Health and Human Services, prior
experience working on or evaluating discretionary grant
programs, or prior experience administering Federal workforce
career pathway programs or other means-tested programs.
``(j) Reports to Congress.--
``(1) HPOG participant analysis.--During each Congress, the
Secretary shall submit to the Committee on Ways and Means of
the House of Representatives and the Committee on Finance of
the Senate a report--
``(A) on the demographics of the participants in
the projects for which a grant is made under this
section;
``(B) on the rate of which project participants
completed all activities under the projects;
``(C) on the employment credentials acquired by
project participants;
``(D) on the employment of project participants on
completion of activities under the projects, and the
earnings of project participants at entry into
employment;
``(E) on best practices and promising practices
used in the projects;
``(F) on the nature of any technical assistance
provided to grantees under this section;
``(G) on, with respect to the period since the
period covered in the most recent prior report
submitted under this paragraph--
``(i) the number of applications submitted
under this section, with a separate statement
of the number of applications referred to in
subsection (b)(5);
``(ii) the number of applications that were
approved, with a separate statement of the
number of such applications referred to in
subsection (b)(5);
``(iii) how grants were made in any case
described in the last sentence of subsection
(c)(1)(A)(ii);
``(iv) the length of time needed to decide
on requests for technical assistance, decide on
grant awards and provide notice of grant awards
to grantees;
``(v) the length of time needed to disburse
grants to grantees; and
``(vi) any additional staffing or expertise
needed to administer and evaluate the
activities conducted under this section, and
any associated additional funding or other
legislation that may be needed to follow
through on the analysis; and
``(H) that includes an assessment of the
effectiveness of the projects with respect to
addressing health professions workforce shortages or
in-demand jobs.
``(2) Federal workforce analysis.--Within 6 months after
the date of the enactment of this section, the Secretary shall
submit to the committees specified in paragraph (1) a report
that contains an analysis of the personnel employed or retained
pursuant to subsection (i)(3), including--
``(A) a historical or projected time line of hiring
and retaining the personnel, including the proportion
of employees given priority pursuant to subsection
(i)(3) who had prior experience working for the
Department of Health and Human Services;
``(B) hiring and retention data on the full-time
and part-time personnel required to administer the
program under this section and perform related
activities, including the percentage of work time the
personnel spent on the program as compared to the
percentage of work time spent on other programs; and
``(C) an attestation that the personnel receive
benefits, civil service protections, and adequate
training and continuing education as needed.
``(3) Annual reports on federal personnel actions.--The
Secretary shall submit annually to the committees specified in
paragraph (1) a report on any personnel actions taken with
respect to the personnel.
``(4) Annual summary of national evaluations of prior
grants.--The Secretary shall submit annually to the committees
specified in paragraph (1) a summary of evaluations by the
Secretary of reports on the long-term and longer-term effects
of grants made under section 2008 as in effect before the
effective date of this section.
``(k) Definitions.--In this section:
``(1) Allied health profession.--The term `allied health
profession' has the meaning given in section 799B(5) of the
Public Health Service Act.
``(2) Career pathway.--The term `career pathway' has the
meaning given that term in section 3(7) of the Workforce
Innovation and Opportunity Act.
``(3) Doula.--The term `doula' means, with respect to an
application to conduct a project under this section, an
individual who--
``(A)(i) has completed 60 hours of training in
providing non-medical information, emotional support,
and physical support to clients during pregnancy,
childbirth, and the postpartum period;
``(ii) is certified, by an organization that has
been established for not less than 5 years and that
requires the completion of continuing education to
maintain the certification, to provide the information
and support referred to in clause (i); and
``(iii) maintains the certification by completing
the required continuing education; or
``(B) has the permission of the local government in
the State in which the applicant intends to conduct the
project, to provide the information and support
referred to in subparagraph (A)(i).
``(4) Eligible entity.--The term `eligible entity' means
any of the following entities that demonstrates in an
application submitted under this section that the entity has
the capacity to fully develop and administer the project
described in the application:
``(A) A local workforce development board
established under section 107 of the Workforce
Innovation and Opportunity Act.
``(B) A State or territory, a political subdivision
of a State or territory, or an agency of a State,
territory, or such a political subdivision, including a
State or local entity that administers a State program
funded under part A of this title.
``(C) An Indian tribe, a tribal organization, or a
tribal college or university.
``(D) An institution of higher education (as
defined in the Higher Education Act of 1965).
``(E) A hospital (as defined in section 1861(e)).
``(F) A high-quality skilled nursing facility.
``(G) A Federally qualified health center (as
defined in section 1861(aa)(4)).
``(H) A nonprofit organization described in section
501(c)(3) of the Internal Revenue Code of 1986, a labor
organization, or an entity with shared labor-management
oversight, that has a demonstrated history of providing
health profession training to eligible individuals.
``(I) In the case of a demonstration project of the
type provided for in subsection (c)(2)(B)(i)(II) of
this section, an entity recognized by a State, Indian
tribe, or tribal organization as qualified to train
doulas or midwives, if midwives or doulas, as the case
may be, are permitted to practice in the State
involved.
``(J) An opioid treatment program (as defined in
section 1861(jjj)(2)), and other high quality
comprehensive addiction care providers.
``(5) Eligible individual.--The term `eligible individual'
means an individual whose family income does not exceed 200
percent of the Federal poverty level.
``(6) Federal poverty level.--The term `Federal poverty
level' means the poverty line (as defined in section 673(2) of
the Omnibus Budget Reconciliation Act of 1981, including any
revision required by such section applicable to a family of the
size involved).
``(7) Indian tribe; tribal organization.--The terms `Indian
tribe' and `tribal organization' have the meaning given the
terms in section 4 of the Indian Self-Determination and
Education Assistance Act (25 U.S.C. 450b).
``(8) Institution of higher education.--The term
`institution of higher education' has the meaning given the
term in section 101 or 102(a)(1)(B) of the Higher Education Act
of 1965.
``(9) Midwife.--The term `midwife' means a midwife who
meets, at a minimum, the international definition of the
midwife and global standards for midwifery education as
established by the International Confederation of Midwives.
``(10) Territory.--The term `territory' means the
Commonwealth of Puerto Rico, the United States Virgin Islands,
Guam, the Northern Mariana Islands, and American Samoa.
``(11) Tribal college or university.--The term `tribal
college or university' has the meaning given the term in
section 316(b) of the Higher Education Act of 1965.
``(12) Tribal midwife.--The term `tribal midwife' means an
individual who is recognized by an Indian tribe (as defined in
section 4 of the Indian Health Care Improvement Act (25 U.S.C.
1603)) to practice midwifery for the tribe.
``(l) Nonapplicability of Preceding Sections of This Subtitle.--
``(1) In general.--Except as provided in paragraph (2), the
preceding sections of this subtitle shall not apply to a grant
awarded under this section.
``(2) Exception for certain limitations on use of grants.--
Section 2005(a) (other than paragraphs (2), (3), (5), (6), and
(8)) shall apply to a grant awarded under this section to the
same extent and in the same manner as such section applies to
payments to States under this subtitle.''.
<all>