$10,000,000 for the fiscal year ending June 30, 1974, to make grants under this section, and, to the extent that sums appropriated under this subsection are not used for such grants, for grants under section 295f-2 of this title. Funds appropriated under this subsection for the fiscal year ending June 30, 1972, shall remain available for obligation through September 30, 1972. (b) Authority of Secretary. The Secretary may make grants to assist any school of medicine, osteopathy, dentistry, veterinary medicine, optometry, pharmacy, or podiatry which is in serious financial straits to meet its costs of operation or which has special need for financial assistance to meet accreditation requirements. (c) Terms and conditions. Any grant under this section may be made upon such terms and conditions as the Secretary determines to be reasonable and necessary, including requirements that the school agree (1) to disclose any financial information or data deemed by the Secretary to be necessary to determine the sources or causes of that school's financial distress, (2) to conduct a comprehensive cost analysis study in cooperation with the Secretary, and (3) to carry out appropriate operational and financial reforms on the basis of information obtained in the course of the comprehensive cost analysis study or on the basis of other relevant information. (d) Requisite assurances. An application for a grant under this section must contain or be supported by assurances satisfactory to the Secretary that the applicant will expend in carrying out its function as a school of medicine, osteopathy, dentistry, veterinary medicine, optometry, pharmacy, or podiatry, as the case may be, during the fiscal year for which such grant is sought, an amount of funds (other than funds for construction, as determined by the Secretary) from nonFederal sources which is at least as great as the average amount of funds expended by such applicant for such purpose (excluding expenditures of a nonrecurring nature) in the three fiscal years immediately preceding the fiscal year for which such grant is sought. The Secretary may, after consultation with the National Advisory Council on Health Professions Education, waive the requirement of the preceding sentence with respect to any school if he determines application of such requirement to such school would be inconsistent with the purposes of this section. (As amended Nov. 18, 1971, Pub. L. 92157, title I, § 104, 85 Stat. 446.) AMENDMENTS 1971-Pub. L. 92-157, in revising the text, substituted provisions for grants to assist health professions schools which are in financial distress (formerly covered in former provisions of section 295f-2(a) of this title) for former provisions respecting applications for grants, former provisions providing in: subsec. (a) for filing dates; subsec. (b) for eligibility for grants; subsec. (c) for consultation with Council; subsec. (d) for approval by Surgeon General and contents of application; and subsec. (e) for priority of projects and matters considered. SECTION REFERRED TO IN OTHER SECTIONS This section is referred to in section 2951-5 of this title. § 295f-4. Health manpower education initiative awards. (a) Description of projects; additional related uses; contract authority. (1) For the purpose of improving the distribution, supply, quality, utilization, and efficiency of health personnel and the health services delivery system, the Secretary may make grants to public or nonprofit private health or educational entities, and may enter into contracts with public or private health or educational entities, for projects (A) to encourage the establishment or maintenance of programs to alleviate shortages of health personnel in areas designated by the Secretary through training or retraining such personnel in facilities located in such areas or to otherwise improve the distribution of health personnel by area or by specialty group; (B) to provide training programs leading to more efficient utilization of health personnel; (C) to initiate new types and patterns or improve existing patterns of training, retraining, continuing education, and advanced training of health personnel, including teachers, administrators, specialists, and paraprofessionals (particularly physicians' assistants, dental therapists, and pediatric nurse practitioners); (D) to encourage new or more effective approaches to the organization and delivery of health services (including emergency medical services) through training individuals in the use of the team approach to delivery of health services (including emergency medical services) and otherwise; or (E) to assist State, local, or other regional arrangements among schools and related organizations and institutions to carry out the purpose of this subsection. (2) Grants and contracts may also be made by the Secretary under this section for (A) the discovery, collection, development or confirmation of information for, (B) the planning development, demonstration, establishment, or maintenance of, or (C) the alteration or renovation of existing facilities for, any of the projects described in paragraph (1) of this subsection. (3) Contracts may be entered into under this subsection without regard to section 529 of Title 31 and section 5 of Title 41. (b) Description of special projects; limitations of funds. The Secretary may also make grants to public or nonprofit private health or educational entities to assist in meeting the costs of special projects to (1) establish or operate projects designed to identify, and increase admissions to and enrollment in schools of medicine, dentistry, osteopathy, optometry, podiatry, pharmacy, veterinary medicine, public health, or other health training of, individuals whose background and interests make it reasonable to assume that they will engage in the practice of their health profession in rural or other areas having a severe shortage of personnel in such health profession; or (2) (A) identify individuals with a potential for education or training in the health professions (including veterans of the Armed Forces of the United States with training or experience in the health field) who due to socioeconomic factors are financially or otherwise disadvantaged and encouraging and assisting them (i) to enroll in a school of medicine, dentistry, osteopathy, pharmacy, optometry, podiatry, veterinary medicine, public health, or other health training; or (ii) if they are not qualified to enroll in such a school, to undertake such postsecondary education or training as may be required to qualify them to enroll in such a school; (B) publicize existing sources of financial aid available to persons enrolled in any such school or who are undertaking training necessary to qualify them to enroll in any such school; or (C) establish such programs as the Secretary determines will enhance and facilitate the enrollment, pursuit, and completion of study by individuals referred to in clause (A) in schools referred to in clause (A) (i). Of the sums appropriated under subsection (e) of this section for any fiscal year, not more than 15 per centum of such sums, but in no event less than $5,000,000 shall be used to make grants under this subsection in such fiscal year. Of the sums available for grants under this subsection for any fiscal year, not more than one-half of such sums may be used for such fiscal year for projects described in clause (1) and not more than one-half of such sums may be used for such fiscal year for projects described in clause (2). (c) Applications: approval by Secretary, regulations; amount of grant; payments: advances or reimbursement, intervals, conditions. (1) No grant may be made under this section unless an application therefor has been submitted to, and approved by, the Secretary. Such application shall be in such form, submitted in such manner, and contain such information as the Secretary shall by regulation prescribe. (2) The amount of any grant under this section shall be determined by the Secretary. Payments under grants under this section may be made in advance or by way of reimbursement, and at such intervals and on such conditions, as the Secretary finds necessary. (d) Coordination with regional medical program. Each grant or contract under subsection (a) of this section must be coordinated with the regional medical program for the area in which the grant or contract will be carried out. (e) Authorization of appropriations. For the purpose of making payments pursuant to grants and contracts under this section, there are authorized to be appropriated $45,000,000 for the fiscal year ending June 30, 1972, $90,000,000 for the fiscal year ending June 30, 1973, and $135,000,000 for the fiscal year ending June 30, 1974. Funds appropriated under this subsection for the fiscal year ending June 30, 1972, shall remain available for obligation through September 30, 1972. (As amended Nov. 18, 1971, Pub. L. 92-157, title I, § 104, 85 Stat. 446; Nov. 16, 1973, Pub. L. 93-154, § 3(c), 87 Stat. 605.) AMENDMENTS 1973-Subsec. (a) (1) (D). Pub. L. 93-154 inserted "(including emergency medical services)" after "services" wherever appearing. 1971-Pub. L. 92–157, in revising the text, substituted provisions for health manpower education initiative awards for former provisions respecting the National Advisory Council on Health Professions Educational Assistance, providing in former: subsec. (a) for its establishment, composition, and selection of members; subsec. (b) for its functions; and subsec. (c) for authorization to use services of members for periods in addition to conference periods. § 295f-5. Applications for capitation, start-up, special project, and financial distress grants. (a) Filing dates. The Secretary may from time to time set dates (not earlier than in the fiscal year preceding the year for which a grant is sought) by which applications for grants under section 295f, 295f-1, 295f-2, or 295f-3 of this title for any fiscal year must be filed. (b) Eligibility conditions. To be eligible for a grant under section 295f, 295f1, 295f-2, or 295f-3 of this title, the applicant must (1) be a public or other nonprofit school of medicine, osteopathy, dentistry, veterinary medicine, optometry, pharmacy, or podiatry, and (2) be accredited by a recognized body or bodies approved for such purpose by the Commissioner of Education, except that the requirement of this clause shall be deemed to be satisfied if (A) in the case of a school which by reason of no, or an insufficient, period of operation is not, at the time of application for a grant under this part, eligible for such accreditation, the Commissioner finds, after consultation with the appropriate accreditation body or bodies, that there is reasonable assurance that the school will meet the accreditation standards of such body or bodies prior to the beginning of the academic year following the normal graduation date of students who are in their first year of instruction at such school during the fiscal year in which the Secretary makes a final determination as to approval of the application, or (B) in the case of any other school, the Commissioner finds after such consultation and after consultation with the Secretary that there is reasonable ground to expect that, with the aid of a grant (or grants) under those sections, having regard for the purposes of the grant for which application is made, such school will meet such accreditation standards within a reasonable time. (c) Consultation with Council. The Secretary shall not approve or disapprove any application for a grant under this part except after consultation with the National Advisory Council on Health Professions Education (established by section 293e of this title). (d) Approval by Secretary; contents. A grant under section 295f, 295f-1, 295f-2, or 295f3 of this title may be made only if the application therefor― (1) is approved by the Secretary upon his determination that the applicant (and its application) meet the applicable eligibility conditions prescribed by section 295f, 295f-1, or 295f-3 of this title or subsection (b) of this section; (2) contains such additional information as the Secretary may require to make the determinations required of him under the section authorizing the grant for which the application is made and such assurances as he may find necessary to carry out the purposes of such section; and (3) provides for such fiscal-control and accounting procedures and reports, and access to the records of the applicant, as the Secretary may require to assure proper disbursement of and accounting for Federal funds paid to the applicant under such grant. (July 1, 1944, ch. 373, title VII, § 775, as added Nov. 18, 1971, Pub. L. 92-157, title I, § 104, 85 Stat. 448.) § 295f-6. Training in emergency medical services. (a) Authority of Secretary; grants to and contracts with appropriate educational entities. The Secretary may make grants to and enter into contracts with schools of medicine, dentistry, osteopathy, and nursing, training centers for allied health professions, and other appropriate educational entities to assist in meeting the cost of training programs in the techniques and methods of providing emergency medical services (including the skills required in 'connection with the provision of ambulance service), especially training programs affording clinical experience in emergency medical services systems receiving assistance under subchapter X of this chapter. (b) Applicants and applications; eligible entities; requirements. No grant or contract may be made or entered into under this section unless (1) the applicant is a public or nonprofit private entity, and (2) an application therefor has been submitted to, and approved by, the Secretary. Such application shall be in such form, submitted in such manner, and contain such information, as the Secretary shall by regulation prescribe. (c) Amount of grant or contract; determination by Secretary; payments: advances or reimbursement, intervals, conditions; reports of grantees and contractees. The amount of any grant or contract under this section shall be determined by the Secretary. Payments under grants and contracts under this section may be made in advance or by way of reimbursement and at such intervals and on such conditions as the Secretary finds necessary. Grantees and contractees under this section shall make such reports at such intervals, and containing such information, as the Secretary may require. (d) Prohibitions and restrictions inapplicable. Contracts may be entered into under this section without regard to section 529 of Title 31 and section 5 of Title 41. (e) Authorization of appropriations. For the purpose of making payments pursuant to grants and contracts under this section, there are authorized to be appropriated $10,000,000 for the fiscal year ending June 30, 1974. (July 1, 1944, ch. 373, title VII, § 776, as added Nov. 16, 1973, Pub. L. 93-154, § 3(a), 87 Stat. 604.) PART F.-SCHOLARSHIP GRANTS PART REFERRED TO IN OTHER SECTIONS This part is referred to in sections 293d, 293e, 295f of this title. Subpart I.-Grants for Scholarships to Students 1971-Pub. L. 92-157, title I, § 106 (b) (1), (2), Nov. 18, 1971, 85 Stat. 453, added the heading of subpart I and struck out from the heading of Part F following "Scholarship Grants" the words "to Schools of Medicine, Osteopathy, Dentistry, Optometry, Podiatry, Pharmacy, or Veterinary Medicine". SUBPART REFERRED TO IN OTHER SECTIONS This subpart is referred to in section 294f of this title. § 295g. Scholarship grants for study in the United States. (a) Authorization. The Secretary shall make grants as provided in this subpart to each public or other nonprofit school of medicine, osteopathy, dentistry, optometry, podiatry, pharmacy, or veterinary medicine, which is accredited as provided in section 293a (b) (1) (B) or section 295f-3(b) (2) of this title for scholarships to be awarded annually by such school to students thereof. (b) Amount of grant. The amount of the grant under subsection (a) of this section to each such school for the fiscal year ending June 30, 1972, shall be equal to $3,000 multiplied by one-tenth of the number of full-time students of such school. The amount of such grant for the fiscal year ending June 30, 1973, and the next fiscal year shall be equal to the greater of (1) $3,000 multiplied by the number of full-time students of such school who are from low-income backgrounds as determined under regulations of the Secretary, or (2) $3,000 multiplied by one-tenth of the number of full-time students of such school. For the fiscal year ending June 30, 1975, and for each of the two succeeding fiscal years, the grant under subsection (a) of this section shall be such amount as may be necessary to enable such school to continue making payments under scholarship awards to students who inftially receive such awards out of grants made to the school for fiscal years ending before July 1, 1974. (c) Eligibility of scholarship recipients; maximum amount of scholarships. (1) Scholarships may be awarded by schools from grants under subsection (a) of this section (A) only to individuals who have been accepted by them for enrollment as full-time first-year students and to individuals enrolled and in good standing as full-time students, in the case of awards from such grants for the fiscal year er.ding June 30, 1972, and each of the next two fiscal years; and (B) only to individuals enrolled and in good standing as full-time students who initially received scholarship awards out of such grants for a fiscal year ending prior to July 1, 1974, in the case of awards from such grants for the fiscal year ending June 30, 1975, or the two succeeding fiscal years. (D) only to individuals who have been so accepted, and individuals enrolled and in good standing as full-time students, in the case of awards from such grants for the fiscal year end ing June 30, 1969 and each of the next three fiscal years; and (E) only to individuals enrolled and in good standing as full-time students who initially received scholarship awards out of such grants for a fiscal year ending prior to July 1, 1972, in the case of awards from such grants for the fiscal year ending June 30, 1973, or the two succeeding fiscal years. (2) Scholarships from grants under subsection (a) of this section for any school year shall be awarded only to students of exceptional financial need who need such financial assistance to pursue a course of study at the school for such year. Any such scholarship awarded for a school year shall cover such portion of the student's tuition, fees, books, equipment, and living expenses at the school making the award, but not to exceed $3,500 for any year, as such school may determine the student needs for such year on the basis of his requirements and financial resources. (d) Regulations; consultation with Council. Grants under subsection (a) of this section shall be made in accordance with regulations prescribed by the Secretary after consultation with the National Advisory Council on Health Professions Education (established by section 293e of this title). (e) Manner of making grant payments. Grants under subsection (a) of this section may be paid in advance or by way of reimbursement, and at such intervals as the Secretary may find necessary; and with appropriate adjustments on account of overpayments or underpayments previously made. (As amended July 9, 1971, Pub. L. 92-52, § 2, 85 Stat. 144; Nov. 18, 1971, Pub. L. 92-157, title I, §§ 106(a), (b) (3), (4), 108(b) (2), title III, § 301 (g), 85 Stat. 452, 453, 461, 464.) AMENDMENTS 1971-Pub. L. 92-157, § 106(b) (3), provided for scholarship grants "for study in the United States" in section catchline. Subsec. (a). Pub. L. 92-157, §§ 106(b)(4), 301(g), substituted "this subpart" and "Secretary" for "this part" and "Surgeon General", respectively. Subsec. (b). Pub. L. 92-157, § 106(a)(1), in revising text for amount of grants, provided for: fiscal years ending June 30, 1975, 1976, and 1977, an amount necessary to enable the school to continue payments to students who Initially received the awards out of grants made to the school for fiscal years ending before July 1, 1974 (former text provided same amount for fiscal year ending June 30, 1975, but out of grants made to the school for fiscal year ending prior to July 1, 1972); fiscal years ending June 30, 1973, and 1974, an amount equal to the greater of $3,000 multiplied by number of full-time students from lowincome backgrounds or $3,000 multiplied by one-tenth of number of full-time students (former text provided for amount necessary to enable the school to continue payments to students who initially received the awards out of grants made to the school for fiscal years ending prior to July 1, 1972); fiscal year ending June 30, 1972, an amount equal to $3,000 (increased from $2,000) multiplied by number of full-time students; and fiscal years ending June 30, 1966, to 1971, an amount equal to $2,000 multiplied by one-tenth of number of full-time: first-year students for 1966; first-year and second-year students for 1967; first-year, second-year, and third-year students for 1968; and full-time students for 1969, 1970, and 1971. Pub. L. 92-52, § 2(a), substituted "the next three fiscal years" for "the next two fiscal years", "1973" for "1972" and "1972" for "1971". Subsec. (c) (1). Pub. L. 92-157, § 106(a) (2), substituted provisions of pars. (A) and (B) respecting eligibility for scholarships of individuals accepted as full-time firstyear students and enrollees in good standing as full-time students for fiscal years ending June 30, 1972, and next two fiscal years, and enrollees in good standing as fulltime students who initially received awards out of grants for a fiscal year ending prior to July 1, 1974, for fiscal year ending June 30, 1975, or two succeeding fiscal years, respectively, for provisions of former pars. (A)-(E), respecting eligibility for awards of individuals accepted as full-time first year students, for fiscal year ending June 30, 1966; full-time first year students and enrollees in good standing as full-time second year students, for fiscal year ending June 30, 1967; full-time first year students and enrollees in good standing as full-time secondyear and third-year students, for fiscal year ending June 30, 1968; full-time first year students and enrollees in good standing as full-time students, for fiscal year ending June 30, 1969, and next three fiscal years; and enrollees in good standing as full-time students who initially received awards out of such grants for a fiscal year prior to July 1, 1972, for fiscal years ending June 30, 1973, or two succeeding fiscal years. Subsec. (c) (1) (D). Pub. L. 92-52, § 2 (b) (1), substituted "the next three fiscal years" for "the next two fiscal years". Subsec. (c) (1) (E). Pub. L. 92-52, § 2(b) (2), substituted "1972" for "1971" and "1973" for "1972". Subsec. (c) (2). Pub. L. 92-157, § 106 (a) (3), increased maximum amount of scholarships from $2,500 to $3,500. Subsec. (d). Pub. L. 92–157, §§ 108(b) (2), 301(g), substituted "National Advisory Council on Health Professions Education (established by section 293e of this title)" for "National Advisory Council on Health Professions Educational Assistance" and "Secretary" for "Surgeon General", respectively. Subsec. (e). Pub. L. 92-157, § 301 (g), substituted "Secretary" for "Surgeon General”. EFFECTIVE DATE OF 1971 AMENDMENT Section 106(a) of Pub. L. 92-157 provided that amendment of subsecs. (b) and (c) of this section by Pub. L. 92-157 shall be effective with respect to scholarship grants made under subsec. (a) of this section for fiscal years beginning after June 30, 1971. § 295g-1. Transfer to student loan fund. Not to exceed 20 per centum of the amount paid to a school from the appropriations for any fiscal year for scholarships under this subpart, or such larger percentage thereof as the Secretary may approve, may be transferred to the sums available to the school under subpart I of part C for (and to be regarded as) Federal capital contributions, to be used for the same purpose as such sums. (As amended Nov. 18, 1971, Pub. L. 92-157, title I, §§ 105(f) (3). 106(b) (4), 85 Stat. 451, 453.) AMENDMENTS 1971-Pub. L. 92-157 substituted "subpart I of part C" and "this subpart" for "part C" and "this part", respectively. Subpart II-Scholarships by Secretary to Citizens of United States Who Are Full-time Students in Schools of Medicine Located Outside United States [New] AMENDMENTS 1971-Pub. L. 92-157, title I, § 106(b) (6), Nov. 18, 1971, 85 Stat. 453, added the heading of subpart II. § 295g-11. Scholarship grants for study abroad. (a) Authority of Secretary. From the appropriations under subsection (e) of this section, the Secretary is authorized to make, in accordance with this subpart, scholarship grants to citizens of the United States who are full-time students in schools of medicine which are located outside the United States. (b) Financial need; domestic medical practice agreement; maximum amount of scholarships. Scholarship grants under this subpart shall be awarded for any school year only to students of exceptional financial need who need such financial assistance to pursue a course of study at a school of medicine for such year and who have entered into an agreement with the Secretary to practice medicine in the United States for a period of five years. Such practice shall begin within such reasonable period of time, after completion of such student's professional training, as the Secretary shall by regulation prescribe. Any such scholarship for a school year shall cover such portion of the student's tuition, fees, books, equipment, and living expenses at the school of medicine in which he is enrolled, but not to exceed $3,500 for any year, as the Secretary may determine the student needs for such year on the basis of the requirements and financial resources of the student. (c) Regulations; consultation with Council. Grants under this subpart shall be made in accordance with regulations prescribed by the Secretary after consultation with the National Advisory Council on Health Professions Education. (d) Eligibility of scholarship recipients. (1) No scholarship grant under this subpart shall be made to any student unless (A) prior to the date such student files application for such grant (i) he has made application for admission as a student in a school of medicine which is located in the United States; (ii) he has, in connection with the making of such application for admission to such school, undergone a written examination to determine his qualifications for admission as a student in such school; (B) such student furnishes to the Secretary a certification from such school that (i) such student is qualified for admission as a student in such school, and (ii) such student was denied admission as a student in such school solely because, for the school year for which such student applied for admission to such school, the number of qualified applicants for admission to such school exceeded the maximum number of students (as determined by such school) which such school was prepared to accept for admission for such year; and (C) such student has not been accepted, before the date of approval of his application for a scholarship grant under this subpart, by a medical school located in the United States. (2) No scholarship grant under this subpart shall be made to any student who has completed three years as a student in a school of medicine, unless (A) such student has passed an examination which (i) is prepared by a body or bodies which the Secretary recognizes as being qualified to prepare such an examination, and (ii) is used to determine the qualifications of students in schools of medicine which are located outside the United States for admission (as transfer students) in schools of medicine which are located in the United States; and (B) such student has made application for admission (as a transfer student) to, but has not been accepted by, a school of medicine which is located in the United States. (e) Authorization of appropriations. For the purpose of making scholarship grants under this subpart there are authorized to be appropriated the following amounts: (1) For the fiscal year ending June 30, 1972, and for each of the next two fiscal years, there are authorized to be appropriated $150,000. (2) For the fiscal year ending June 30, 1975, and for each of the two succeeding fiscal years, there are authorized to be appropriated such amounts as may be necessary to enable the Secretary to continue to make scholarship grants to students who received such grants under this subpart from funds made available to the Secretary for such purpose for fiscal years ending before July 1, 1974. (July 1, 1944, ch. 373, title VII, § 785, as added Nov. 18, 1971, Pub. L. 92-157, title I, § 106(b) (6), 85 Stat. 453.) CODIFICATION Another section 785 of act July 1, 1944, ch. 373, title VII, relating to administration and contractual arrangements respecting physician shortage area scholarship program, was enacted by section 106(c) of Pub. L. 92-157 and is classified to section 295g-22 of this title. Subpart III.-Physician Shortage Area Scholarship Program [New] AMENDMENTS 1971-Pub. L. 92-157, title I, § 106(c), Nov. 18, 1971, 85 Stat. 455, added the heading of subpart III. § 295g-21. Scholarship grants. (a) Eligible students; "physician shortage area” and "primary care" defined. In order to promote the more adequate provision of medical care for persons who (1) reside in a physician shortage area; (2) are migratory agricultural workers or members of the families of such workers; the Secretary may, in accordance with the provisions of this subpart, make scholarship grants to individuals who are medical students and who agree to engage in the practice of primary care after completion of their professional training (A) in a physician shortage area, or (B) at such place or places, such facility or facilities, and in such manner, as may be necessary to assure that, of the patients receiving medical care in such practice, a substantial portion will consist of persons referred to in clause (2). For purposes of this subpart, (1) the term "physician shortage area" means an area determined by the Secretary under section 294a (f) (1) (C) of this title to have a shortage of and a need for physicians, and (2) the term "primary care" has the meaning prescribed for it by the Secretary under section 295e-2(c) (3) (B) of this title. (b) Academic year period; maximum grant to an individual; order of priority for awards. (1) Scholarship grants under this subpart shall be made with respect to academic years. |