Text: H.R.2231 — 102nd Congress (1991-1992)All Information (Except Text)

There is one version of the bill.

Text available as:

Shown Here:
Introduced in House

 
 
HR 2231 IH
102d CONGRESS
1st Session
 H. R. 2231
To amend the Public Health Service Act to establish, in the program of grants
regarding training in general internal medicine and general pediatrics,
certain requirements regarding training in family medicine.
IN THE HOUSE OF REPRESENTATIVES
May 7, 1991
Mr. COOPER (for himself, Mr. ROWLAND, Mr. ENGLISH, Mr. JOHNSON of South
Dakota, Mr. SYNAR, Mr. MCCLOSKEY, Mr. KLUG, Mr. STENHOLM, Mr. WILSON,
Mr. POSHARD, Mr. EVANS, Mr. BOUCHER, Mr. THOMAS of Wyoming, Mr. PENNY,
Mr. EMERSON, Mr. ROBERTS, Mr. BARRETT, Mr. GUNDERSON, Mr. SLATTERY, Mr. SWETT,
Mrs. BYRON, Mr. SMITH of Texas, Mr. BEREUTER, Mr. HALL of Texas, Mr. WILLIAMS,
and Mr. PAYNE of Virginia) 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, in the program of grants
regarding training in general internal medicine and general pediatrics,
certain requirements regarding training in family medicine.
  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 `Primary Care Training Amendments of 1991'.
SEC. 2. ESTABLISHMENT OF REQUIREMENTS REGARDING FAMILY MEDICINE IN PROGRAM
FOR TRAINING, TRAINEESHIPS, AND FELLOWSHIPS IN GENERAL INTERNAL MEDICINE
AND GENERAL PEDIATRICS.
  (a) IN GENERAL- Section 784 of the Public Health Service Act (42
  U.S.C. 295g-4) is amended--
  (1) by redesignating subsections (b) and (c) as subsections (c) and (d),
  respectively; and
  (2) by inserting after subsection (a) the following new subsection:
  `(b)(1) In the case of a school of medicine or osteopathic medicine,
  the Secretary may not make a grant under subsection (a) unless--
  `(A) during the fiscal year preceding the fiscal year for which the
  school is applying for the grant, the school had a department, division,
  or other academic administrative unit to provide clinical instruction in
  family medicine;
  `(B) during such year the unit met the criteria specified in subparagraphs
  (A) through (D) of section 780(b)(1);
  `(C) with respect to the clinical training of students in family medicine,
  the school, during such year--
  `(i) required, as a condition of receiving a degree from the school, that
  students of the school have had significant such training by the end of
  the third year of the curriculum; and
  `(ii) had in effect, for purposes of providing for such training for the
  students, an arrangement with a hospital or other entity that had a program
  of such training for students; and
  `(D) the school agrees that, during the period for the which the grant
  is made, the school will continue meeting the criteria specified in
  subparagraphs (A) through (C).
  `(2) If a public or nonprofit hospital or other entity has any program for
  the clinical training of students of schools of medicine or osteopathic
  medicine, the Secretary may not make a grant under subsection (a) to the
  entity unless--
  `(A) during the fiscal year preceding the fiscal year for which the entity
  is applying for the grant, the entity operated a program for the clinical
  training of students in family medicine;
  `(B) during such year the entity had, for purposes of providing clinical
  training described in subparagraph (A), an arrangement with a school
  of medicine or osteopathic medicine that met the criteria specified in
  subparagraphs (A) through (C) of paragraph (1), and students of the school
  participated in the program for such training conducted by the entity; and
  `(C) the entity agrees that, during the period for the which the grant
  is made, the entity will continue meeting the the criteria specified in
  subparagraphs (A) and (B).'.
  (b) PRIORITY IN MAKING GRANTS- Section 784(c) of the Public Health Service
  Act, as redesignated by subsection (a)(1) of this section, is amended by
  striking ` a commitment' and all that follow and inserting the following:
  ` a commitment to general internal medicine, to general pediatrics, and
  to family medicine in their medical education training programs.'.
  (c) TECHNICAL AMENDMENT- Section 780(b)(1) of the Public Health Service
  Act (42 U.S.C. 295g(b)(1)) is amended by striking `required by clause (B)'
  and inserting `required by subparagraph (B)'.
SEC. 3. EFFECTIVE DATE.
  The amendments made by this Act shall take effect October 1, 1991, or upon
  the date of the enactment of this Act, whichever occurs later.