subpart 3—recruitment and retention programs
§295f. Investment in tomorrow's pediatric health care workforce
(a) Establishment
The Secretary shall establish and carry out a pediatric specialty loan repayment program under which the eligible individual agrees to be employed full-time for a specified period (which shall not be less than 2 years) in providing pediatric medical subspecialty, pediatric surgical specialty, or child and adolescent mental and behavioral health care, including substance abuse prevention and treatment services.
(b) Program administration
Through the program established under this section, the Secretary shall enter into contracts with qualified health professionals under which—
(1) such qualified health professionals will agree to provide pediatric medical subspecialty, pediatric surgical specialty, or child and adolescent mental and behavioral health care in an area with a shortage of the specified pediatric subspecialty that has a sufficient pediatric population to support such pediatric subspecialty, as determined by the Secretary; and
(2) the Secretary agrees to make payments on the principal and interest of undergraduate, graduate, or graduate medical education loans of professionals described in paragraph (1) of not more than $35,000 a year for each year of agreed upon service under such paragraph for a period of not more than 3 years during the qualified health professional's—
(A) participation in an accredited pediatric medical subspecialty, pediatric surgical specialty, or child and adolescent mental health subspecialty residency or fellowship; or
(B) employment as a pediatric medical subspecialist, pediatric surgical specialist, or child and adolescent mental health professional serving an area or population described in such paragraph.
(c) In general
(1) Eligible individuals
(A) Pediatric medical specialists and pediatric surgical specialists
For purposes of contracts with respect to pediatric medical specialists and pediatric surgical specialists, the term "qualified health professional" means a licensed physician who—
(i) is entering or receiving training in an accredited pediatric medical subspecialty or pediatric surgical specialty residency or fellowship; or
(ii) has completed (but not prior to the end of the calendar year in which this section is enacted) the training described in subparagraph (B).
(B) Child and adolescent mental and behavioral health
For purposes of contracts with respect to child and adolescent mental and behavioral health care, the term "qualified health professional" means a health care professional who—
(i) has received specialized training or clinical experience in child and adolescent mental health in psychiatry, psychology, school psychology, behavioral pediatrics, psychiatric nursing, social work, school social work, substance abuse disorder prevention and treatment, marriage and family therapy, school counseling, or professional counseling;
(ii) has a license or certification in a State to practice allopathic medicine, osteopathic medicine, psychology, school psychology, psychiatric nursing, social work, school social work, marriage and family therapy, school counseling, or professional counseling; or
(iii) is a mental health service professional who completed (but not before the end of the calendar year in which this section is enacted) specialized training or clinical experience in child and adolescent mental health described in clause (i).
(2) Additional eligibility requirements
The Secretary may not enter into a contract under this subsection with an eligible individual unless—
(A) the individual agrees to work in, or for a provider serving, a health professional shortage area or medically underserved area, or to serve a medically underserved population;
(B) the individual is a United States citizen or a permanent legal United States resident; and
(C) if the individual is enrolled in a graduate program, the program is accredited, and the individual has an acceptable level of academic standing (as determined by the Secretary).
(d) Priority
In entering into contracts under this subsection, the Secretary shall give priority to applicants who—
(1) are or will be working in a school or other pre-kindergarten, elementary, or secondary education setting;
(2) have familiarity with evidence-based methods and cultural and linguistic competence health care services; and
(3) demonstrate financial need.
(e) Authorization of appropriations
There is authorized to be appropriated such sums as may be necessary for each of fiscal years 2021 through 2025.
(July 1, 1944, ch. 373, title VII, §775, as added
Editorial Notes
References in Text
The calendar year in which this section is enacted, referred to in subsec. (c)(1)(A)(ii), (B)(iii), probably means the calendar year in which
Prior Provisions
A prior section 295f, act July 1, 1944, ch. 373, title VII, §770, as added Oct. 22, 1965,
A prior section 775 of act July 1, 1944, was renumbered section 772 by
Amendments
2020—Subsec. (e).
§295f–1. Public Health Workforce Loan Repayment Program
(a) Establishment
The Secretary shall establish the Public Health Workforce Loan Repayment Program (referred to in this section as the "Program") to assure an adequate supply of, and encourage recruitment and retention of, public health professionals to eliminate critical public health workforce shortages in State, local, and Tribal public health agencies.
(b) Eligibility
To be eligible to participate in the Program, an individual shall—
(1)(A)(i) be accepted for enrollment, or be enrolled, as a student in an accredited institution of higher education or school of public health in the final semester (or equivalent) of a program leading to a certificate or degree, including a master's or doctoral degree, in public health, epidemiology, laboratory sciences, data systems, data science, data analytics, informatics, statistics, or another subject matter related to public health; and
(ii) be employed by, or have accepted employment with, a State, local, or Tribal public health agency, or a related training fellowship at such State, local, or Tribal public health agency, as recognized by the Secretary, to commence upon graduation; or
(B)(i) have graduated, during the preceding 10-year period, from an accredited institution of higher education or school of public health and received a certificate or degree, including a master's or doctoral degree, in public health, epidemiology, laboratory sciences, data systems, data science, data analytics, informatics, statistics, or another subject matter related to public health; and
(ii) be employed by, or have accepted employment with, a State, local, or Tribal public health agency or a related training fellowship at such State, local, or Tribal public health agency, as recognized by the Secretary;
(2) be a United States citizen; and
(3)(A) submit an application to the Secretary to participate in the Program;
(B) execute a written contract as required in subsection (c); and
(4) not have received, for the same service, a reduction of loan obligations under
(c) Contract
The written contract (referred to in this section as the "written contract") between the Secretary and an individual shall contain—
(1) an agreement on the part of the Secretary that the Secretary will repay on behalf of the individual loans incurred by the individual in the pursuit of the relevant degree or certificate in accordance with the terms of the contract;
(2) an agreement on the part of the individual that the individual will serve in the full-time employment of a State, local, or Tribal public health agency or a related fellowship program in a position related to the course of study or program for which the contract was awarded for a period of time (referred to in this section as the "period of obligated service") of at least 3 consecutive years;
(3) an agreement, as appropriate, on the part of the individual to relocate to a priority service area (as determined by the Secretary) in exchange for an additional loan repayment incentive amount to be determined by the Secretary;
(4) a provision that any financial obligation of the United States arising out of a contract entered into under this section and any obligation of the individual that is conditioned thereon, is contingent on funds being appropriated for loan repayments under this section;
(5) a statement of the damages to which the United States is entitled,1 under this section for the individual's breach of the contract; and
(6) such other statements of the rights and liabilities of the Secretary and of the individual, not inconsistent with this section.
(d) Payments
(1) In general
A loan repayment provided for an individual under a written contract under the Program shall consist of payment, in accordance with paragraph (2), for the individual toward the outstanding principal and interest on education loans incurred by the individual in the pursuit of the relevant degree or certificate described in subsection (b)(1) in accordance with the terms of the contract.
(2) Payments for years served
(A) In general
For each year of obligated service that an individual contracts to serve under subsection (c) the Secretary may pay up to $50,000 on behalf of the individual for loans described in paragraph (1). With respect to participants under the Program whose total eligible loans are less than $150,000, the Secretary shall pay an amount that does not exceed 1/3 of the eligible loan balance for each year of obligated service of the individual.
(B) Considerations
The Secretary may take action in making awards under this section to ensure that—
(i) an appropriate proportion of contracts are awarded to individuals who are eligible to participate in the program pursuant to subsection (b)(1)(A); and
(ii) contracts awarded under this section are equitably distributed among—
(I) the geographical regions of the United States;
(II) local, State, and Tribal public health departments; and
(III) such public health departments under subclause (II) serving rural and urban areas.
(3) Tax liability
For the purpose of providing reimbursements for tax liability resulting from payments under paragraph (2) on behalf of an individual, the Secretary shall, in addition to such payments, make payments to the individual in an amount not to exceed 39 percent of the total amount of loan repayments made for the taxable year involved.
(e) Postponing obligated service
With respect to an individual with a contract to serve under subsection (c), the date of the initiation of the period of obligated service may be postponed as approved by the Secretary.
(f) Breach of contract
An individual who fails to comply with the contract entered into under subsection (c) shall be subject to the same financial penalties as provided for under
(g) Eligible loans
The loans eligible for repayment under this section are each of the following:
(1) Any loan for education or training for employment by a health department.
(2) Any loan under part E of subchapter VI (relating to nursing student loans).
(3) Any Federal Direct Stafford Loan, Federal Direct PLUS Loan, Federal Direct Unsubsidized Stafford Loan, or Federal Direct Consolidation Loan (as such terms are used in section 455 of the Higher Education Act of 1965 [
(4) Any Federal Perkins Loan under part E of title I 2 of the Higher Education Act of 1965.
(5) Any other Federal loan, as the Secretary determines appropriate.
(h) Pilot program
(1) In general
The Secretary shall, as appropriate, establish a pilot program, to be known as the Bio-Preparedness Workforce Pilot Program, to provide for loan repayment for health professionals with expertise in infectious diseases and emergency preparedness and response activities to ensure an adequate supply of such professionals. Such program shall be administered consistent with the requirements of this section, except that, to be eligible to participate in the pilot program, an individual shall—
(A)(i) be accepted for enrollment, or be enrolled, as a student in an accredited institution of higher education in the final semester (or equivalent) of a program leading to a health professions degree or certificate program relevant to such program; or
(ii) have graduated, during the preceding 10-year period, from an accredited institution of higher education with a health professions degree or certificate program relevant to such program; and
(B) be employed by, or have accepted employment with—
(i) a Federal health care facility;
(ii) a nonprofit health care facility that is located in a health professional shortage area (as defined in
(iii) an entity receiving assistance under subchapter XXIV for the provision of clinical services;
(iv) a health program, or a facility, operated by an Indian Tribe or Tribal organization (as those terms are defined in
(v) another relevant entity determined appropriate by the Secretary, as a health professional with expertise in infectious diseases or emergency preparedness and response.
(2) Non-duplication of effort
The Secretary shall ensure that the pilot program established under paragraph (1) does not unnecessarily duplicate the National Health Service Corps Loan Repayment Program, or any other loan repayment program operated by the Department of Health and Human Services.
(3) Evaluation and report to Congress
(A) In general
The Secretary shall evaluate the pilot program at the conclusion of the first cycle of recipients funded by the pilot program.
(B) Report
(i) In general
The Secretary shall submit to the Committee on Health, Education, Labor, and Pensions of the Senate and the Committee on Energy and Commerce of the House of Representatives a report on the evaluation under subparagraph (A). The report shall include, at a minimum, outcomes information from the pilot program, including any impact on recruitment and retention of health professionals with expertise in infectious diseases and emergency preparedness and response activities.
(ii) Recommendation
The report under this subparagraph shall include a recommendation by the Secretary as to whether the pilot program under this subsection should be extended.
(i) Authorization of appropriations
There is authorized to be appropriated to carry out this section $100,000,000 for each of fiscal years 2023 through 2025.
(July 1, 1944, ch. 373, title VII, §776, as added
Editorial Notes
References in Text
The Higher Education Act of 1965, referred to in subsec. (g)(4), is
Prior Provisions
A prior section 295f–1, act July 1, 1944, ch. 373, title VII, §771, as added Oct. 12, 1976,
Another prior section 295f–1, act July 1, 1944, ch. 373, title VII, §771, as added Oct. 22, 1965,
A prior section 776 of act July 1, 1944, was renumbered section 2692 and is classified to
Another prior section 776 of act July 1, 1944, was renumbered section 789, and was classified to
Amendments
2022—Subsec. (a).
Subsec. (b)(1)(A).
Subsec. (b)(1)(B)(i).
Subsec. (b)(1)(B)(ii).
Subsec. (c)(2).
"(A) 3 years; or
"(B) such longer period of time as determined appropriate by the Secretary and the individual;".
Subsec. (d)(1).
Subsec. (d)(2).
Subsec. (e).
Subsec. (f).
Subsecs. (g), (h).
Subsec. (i).
1 So in original. The comma probably should not appear.
2 So in original. Probably should be "part E of title IV".
§295f–2. Training for mid-career public and allied health professionals
(a) In general
The Secretary may make grants to, or enter into contracts with, any eligible entity to award scholarships to eligible individuals to enroll in degree or professional training programs for the purpose of enabling mid-career professionals in the public health and allied health workforce to receive additional training in the field of public health and allied health.
(b) Eligibility
(1) Eligible entity
The term "eligible entity" indicates an accredited educational institution that offers a course of study, certificate program, or professional training program in public or allied health or a related discipline, as determined by the Secretary 1
(2) Eligible individuals
The term "eligible individuals" includes those individuals employed in public and allied health positions at the Federal, State, tribal, or local level who are interested in retaining or upgrading their education.
(c) Authorization of appropriations
There is authorized to be appropriated to carry out this section, $60,000,000 for fiscal year 2010 and such sums as may be necessary for each of fiscal years 2011 through 2015. Fifty percent of appropriated funds shall be allotted to public health mid-career professionals and 50 percent shall be allotted to allied health mid-career professionals.
(July 1, 1944, ch. 373, title VII, §777, as added
Editorial Notes
Prior Provisions
A prior section 295f–2, act July 1, 1944, ch. 373, title VII, §772, formerly §775, as added Nov. 18, 1971,
Another prior section 295f–2, act July 1, 1944, ch. 373, title VII, §772, as added Oct. 22, 1965,
A prior section 777 of act July 1, 1944, was classified to
1 So in original. Probably should be followed by a period.
§295f–3. Fellowship training in applied public health epidemiology, public health laboratory science, public health informatics, and expansion of the Epidemic Intelligence Service
(a) In general
The Secretary may carry out activities to address documented workforce shortages in State and local health departments in the critical areas of applied public health epidemiology and public health laboratory science and informatics and may expand the Epidemic Intelligence Service.
(b) Specific uses
In carrying out subsection (a), the Secretary shall provide for the expansion of existing fellowship programs operated through the Centers for Disease Control and Prevention in a manner that is designed to alleviate shortages of the type described in subsection (a).
(c) Other programs
The Secretary may provide for the expansion of other applied epidemiology training programs that meet objectives similar to the objectives of the programs described in subsection (b).
(d) Work obligation
Participation in fellowship training programs under this section shall be deemed to be service for purposes of satisfying work obligations stipulated in contracts under
(e) General support
Amounts may be used from grants awarded under this section to expand the Public Health Informatics Fellowship Program at the Centers for Disease Control and Prevention to better support all public health systems at all levels of government.
(f) Authorization of appropriations
There are authorized to be appropriated to carry out this section $39,500,000 for each of fiscal years 2010 through 2013, of which—
(1) $5,000,000 shall be made available in each such fiscal year for epidemiology fellowship training program activities under subsections (b) and (c);
(2) $5,000,000 shall be made available in each such fiscal year for laboratory fellowship training programs under subsection (b);
(3) $5,000,000 shall be made available in each such fiscal year for the Public Health Informatics Fellowship Program under subsection (e); and
(4) $24,500,000 shall be made available for expanding the Epidemic Intelligence Service under subsection (a).
(July 1, 1944, ch. 373, title VII, §778, as added
Editorial Notes
Prior Provisions
A prior section 295f–3, act July 1, 1944, ch. 373, title VII, §773, as added Nov. 4, 1988,
Another prior section 295f–3, act July 1, 1944, ch. 373, title VII, §773, as added Oct. 22, 1965,
A prior section 778 of act July 1, 1944, was classified to
A prior section 295f–4, act July 1, 1944, ch. 373, title VII, §774, as added Oct. 22, 1965,
A prior section 295f–5, act July 1, 1944, ch. 373, title VII, §775, as added Nov. 18, 1971,
A prior section 295f–6, act July 1, 1944, ch. 373, title VII, §776, as added Nov. 16, 1973,
Prior sections 295g to 295g–2 were omitted in the general amendment of this subchapter by
Section 295g, act July 1, 1944, ch. 373, title VII, §780, as added Oct. 12, 1976,
Another prior section 295g, act July 1, 1944, ch. 373, title VII, §780, as added Oct. 22, 1965,
Section 295g–1, act July 1, 1944, ch. 373, title VII, §781, as added Oct. 12, 1976,
Another prior section 295g–1, act July 1, 1944, ch. 373, title VII, §781, as added Aug. 16, 1968,
Section 295g–2, act July 1, 1944, ch. 373, title VII, §782, formerly §788A, as added Aug. 18, 1987,
Another prior section 295g–2, act July 1, 1944, ch. 373, title VII, §782, as added Oct. 12, 1976,
A prior section 295g–3, act July 1, 1944, ch. 373, title VII, §783, as added Oct. 12, 1976,
Prior sections 295g–4 to 295g–8 were omitted in the general amendment of this subchapter by
Section 295g–4, act July 1, 1944, ch. 373, title VII, §784, as added Oct. 12, 1976,
Section 295g–5, act July 1, 1944, ch. 373, title VII, §785, as added Nov. 4, 1988,
Another prior section 295g–5, act July 1, 1944, ch. 373, title VII, §785, as added Oct. 12, 1976,
Section 295g–6, act July 1, 1944, ch. 373, title VII, §786, as added Oct. 12, 1976,
Section 295g–7, act July 1, 1944, ch. 373, title VII, §787, as added Oct. 12, 1976,
Section 295g–7a, act July 1, 1944, ch. 373, title VII, §787A, as added and amended Nov. 4, 1988,
Section 295g–8, act July 1, 1944, ch. 373, title VII, §788, as added Oct. 12, 1976,
Another prior section 295g–8, act July 1, 1944, ch. 373, title VII, §788A, as added Aug. 18, 1987,
A prior section 295g–8a, act July 1, 1944, ch. 373, title VII, §788A, as added Aug. 13, 1981,
Prior sections 295g–8b to 295g–10 were omitted in the general amendment of this subchapter by
Section 295g–8b, act July 1, 1944, ch. 373, title VII, §788A, formerly §788B, as added Aug. 13, 1981,
Section 295g–9, act July 1, 1944, ch. 373, title VII, §789, as added and amended Nov. 4, 1988,
Another prior section 295g–9, act July 1, 1944, ch. 373, title VII, §789, formerly §776, as added Nov. 16, 1973,
Section 295g–10, act July 1, 1944, ch. 373, title VII, §790, as added Oct. 12, 1976,
A prior section 295g–10a,
A prior section 295g–11, act July 1, 1944, ch. 373, title VII, §790A, as added Nov. 4, 1988,
Another prior section 295g–11, act July 1, 1944, ch. 373, title VII, §785, as added Nov. 18, 1971,
Prior sections 295g–21 to 295g–23 were repealed by
Section 295g–21, act July 1, 1944, ch. 373, title VII, §784, as added Nov. 18, 1971,
Section 295g–22, act July 1, 1944, ch. 373, title VII, §785, as added Nov. 18, 1971,
Section 295g–23, act July 1, 1944, ch. 373, title VII, §786, as added Nov. 18, 1971