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1 ‘‘(C) a consortium of 2 or more entities de-
2 scribed in subparagraphs (A) and (B).
3 ‘‘(c) CAPACITY BUILDING IN PRIMARY CARE.—
4 ‘‘(1) IN GENERAL.—The Secretary shall make
5 grants to or enter into contracts with eligible entities
6 to establish, maintain, or improve—
7 ‘‘(A) academic administrative units (in-
8 cluding departments, divisions, or other appro-
9 priate units) in the specialties of family medi-
10 cine, general internal medicine, general pediat-
11 rics, or geriatrics; or
12 ‘‘(B) programs that improve clinical teach-
13 ing in such specialties.
14 ‘‘(2) ELIGIBILITY.—To be eligible for a grant
15 or contract under paragraph (1), an entity shall be
16 an accredited school of medicine or osteopathic med-
17 icine.
18 ‘‘(d) PREFERENCE.—In awarding grants or contracts
19 under this section, the Secretary shall give preference to
20 entities that have a demonstrated record of the following:
21 ‘‘(1) Training the greatest percentage, or sig-
22 nificantly improving the percentage, of health care
23 professionals who provide primary care.

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1 ‘‘(2) Training individuals who are from under-
2 represented minority groups or disadvantaged back-
3 grounds.
4 ‘‘(3) A high rate of placing graduates in prac-
5 tice settings having the principal focus of serving in
6 underserved areas or populations experiencing health
7 disparities (including serving patients eligible for
8 medical assistance under title XIX of the Social Se-
9 curity Act or for child health assistance under title
10 XXI of such Act or those with special health care
11 needs).
12 ‘‘(4) Supporting teaching programs that ad-
13 dress the health care needs of vulnerable popu-
14 lations.
15 ‘‘(e) REPORT.—The Secretary shall submit to the
16 Congress an annual report on the program carried out
17 under this section.
18 ‘‘(f) DEFINITION.—In this section, the term ‘health
19 disparities’ has the meaning given the term in section
20 3171.’’.
21 SEC. 2214. TRAINING OF MEDICAL RESIDENTS IN COMMU-

22 NITY-BASED SETTINGS.

23 Title VII (42 U.S.C. 292 et seq.) is amended—

24 (1) by redesignating section 748 as 749A; and
25 (2) by inserting after section 747 the following:

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1 ‘‘SEC. 748. TRAINING OF MEDICAL RESIDENTS IN COMMU-

2 NITY-BASED SETTINGS.

3 ‘‘(a) PROGRAM.—The Secretary shall establish a pro-

4 gram for the training of medical residents in community-
5 based settings consisting of awarding grants or contracts
6 under this section.
7 ‘‘(b) DEVELOPMENT AND OPERATION OF COMMU-
8 NITY-BASED PROGRAMS.—The Secretary shall make
9 grants to, or enter into contracts with, eligible entities—
10 ‘‘(1) to plan and develop a new primary care
11 residency training program, which may include—
12 ‘‘(A) planning and developing curricula;
13 ‘‘(B) recruiting and training residents and
14 faculty; and
15 ‘‘(C) other activities designated to result in
16 accreditation of such a program; or
17 ‘‘(2) to operate or participate in an established
18 primary care residency training program, which may
19 include—
20 ‘‘(A) planning and developing curricula;
21 ‘‘(B) recruitment and training of residents;
22 and
23 ‘‘(C) retention of faculty.
24 ‘‘(c) ELIGIBLE ENTITY.—To be eligible to receive a
25 grant or contract under subsection (b), an entity shall—

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1 ‘‘(1) be designated as a recipient of payment
2 for the direct costs of medical education under sec-
3 tion 1886(k) of the Social Security Act;
4 ‘‘(2) be designated as an approved teaching
5 health center under section 1502(d) of the America’s
6 Affordable Health Choices Act of 2009 and con-
7 tinuing to participate in the demonstration project
8 under such section; or
9 ‘‘(3) be an applicant for designation described
10 in paragraph (1) or (2) and have demonstrated to
11 the Secretary appropriate involvement of an accred-
12 ited teaching hospital to carry out the inpatient re-
13 sponsibilities associated with a primary care resi-
14 dency training program.
15 ‘‘(d) PREFERENCES.—In awarding grants and con-
16 tracts under paragraph (1) or (2) of subsection (b), the
17 Secretary shall give preference to entities that—
18 ‘‘(1) support teaching programs that address
19 the health care needs of vulnerable populations; or
20 ‘‘(2) are a Federally qualified health center (as
21 defined in section 1861(aa)(4) of the Social Security
22 Act) or a rural health clinic (as defined in section
23 1861(aa)(2) of such Act).
24 ‘‘(e) ADDITIONAL PREFERENCES FOR ESTABLISHED
25 PROGRAMS.—In awarding grants and contracts under

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1 subsection (b)(2), the Secretary shall give preference to
2 entities that have a demonstrated record of training—
3 ‘‘(1) a high or significantly improved percentage
4 of health care professionals who provide primary
5 care;
6 ‘‘(2) individuals who are from underrepresented
7 minority groups or disadvantaged backgrounds; or
8 ‘‘(3) individuals who practice in settings having
9 the principal focus of serving underserved areas or
10 populations experiencing health disparities (including
11 serving patients eligible for medical assistance under
12 title XIX of the Social Security Act or for child
13 health assistance under title XXI of such Act or
14 those with special health care needs).
15 ‘‘(f) PERIOD OF AWARDS.—
16 ‘‘(1) IN GENERAL.—The period of a grant or
17 contract under this section—
18 ‘‘(A) shall not exceed 2 years for awards
19 under subsection (b)(1); and
20 ‘‘(B) shall not exceed 5 years for awards
21 under subsection (b)(2).
22 ‘‘(2) SPECIAL RULES.—

23 ‘‘(A) An award of a grant or contract

24 under subsection (b)(1) shall not be renewed.

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1 ‘‘(B) The period of a grant or contract
2 awarded to an entity under subsection (b)(2)
3 shall not overlap with the period of any grant
4 or contact awarded to the same entity under
5 subsection (b)(1).
6 ‘‘(g) REPORT.—The Secretary shall submit to the
7 Congress an annual report on the program carried out
8 under this section.
9 ‘‘(h) DEFINITIONS.—In this section:
10 ‘‘(1) PRIMARY CARE RESIDENCY TRAINING PRO-

11 GRAM.—The term ‘primary care residency training

12 program’ means an approved medical residency
13 training program described in section 1886(h)(5)(A)
14 of the Social Security Act that is—
15 ‘‘(A) in the case of entities seeking awards
16 under subsection (b)(1), actively applying to be
17 accredited by the Accreditation Council for
18 Graduate Medical Education; or
19 ‘‘(B) in the case of entities seeking awards
20 under subsection (b)(2), so accredited.
21 ‘‘(2) HEALTH DISPARITIES.—The term ‘health
22 disparities’ has the meaning given the term in sec-
23 tion 3171.’’.

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1 SEC. 2215. TRAINING FOR GENERAL, PEDIATRIC, AND PUB-

2 LIC HEALTH DENTISTS AND DENTAL HYGIEN-

3 ISTS.

4 Title VII (42 U.S.C. 292 et seq.) is amended—

5 (1) in section 791(a)(1), by striking ‘‘747 and
6 750’’ and inserting ‘‘747, 749, and 750’’; and
7 (2) by inserting after section 748, as added, the
8 following:
9 ‘‘SEC. 749. TRAINING FOR GENERAL, PEDIATRIC, AND PUB-

10 LIC HEALTH DENTISTS AND DENTAL HYGIEN-

11 ISTS.

12 ‘‘(a) PROGRAM.—The Secretary shall establish a den-

13 tal medicine training program consisting of awarding
14 grants and contracts under this section.
15 ‘‘(b) SUPPORT AND DEVELOPMENT OF DENTAL
16 TRAINING PROGRAMS.—The Secretary shall make grants
17 to, or enter into contracts with, eligible entities—
18 ‘‘(1) to plan, develop, operate, or participate in
19 an accredited professional training program for oral
20 health professionals;
21 ‘‘(2) to provide financial assistance to oral
22 health professionals who are in need thereof, who
23 are participants in any such program, and who plan
24 to work in general, pediatric, or public heath den-
25 tistry, or dental hygiene;

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1 ‘‘(3) to plan, develop, operate, or participate in
2 a program for the training of oral health profes-
3 sionals who plan to teach in general, pediatric, or
4 public health dentistry, or dental hygiene;
5 ‘‘(4) to provide financial assistance in the form
6 of traineeships and fellowships to oral health profes-
7 sionals who plan to teach in general, pediatric, or
8 public health dentistry or dental hygiene;
9 ‘‘(5) to establish, maintain, or improve—
10 ‘‘(A) academic administrative units (in-
11 cluding departments, divisions, or other appro-
12 priate units) in the specialties of general, pedi-
13 atric, or public health dentistry; or
14 ‘‘(B) programs that improve clinical teach-
15 ing in such specialties.
16 ‘‘(6) to plan, develop, operate, or participate in
17 predoctoral and postdoctoral training in general, pe-
18 diatric, or public health dentistry programs, or train-
19 ing for dental hygienists;
20 ‘‘(7) to plan, develop, operate, or participate in
21 a loan repayment program for full-time faculty in a
22 program of general, pediatric, or public health den-
23 tistry; and
24 ‘‘(8) to provide technical assistance to pediatric
25 dental training programs in developing and imple-

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