legislation: 100-s-2229
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| 100-s-2229 | 100 | s | 2229 | Health Professions Reauthorization Act of 1988 | Health | 1988-03-29 | 1988-09-26 | Placed on Senate Legislative Calendar under General Orders. Calendar No. 1001. | Senate | Sen. Kennedy, Edward M. [D-MA] | MA | D | K000105 | 8 | (Reported to Senate from the Committee on Labor and Human Resources with amendment, S. Rept. 100-552) Health Professions Reauthorization Act of 1988 - Title I: Student Assistance - Amends title VII (Health Research and Teaching Facilities and Training of Professional Health Personnel) to exclude from the definition of "allied health professionals" individuals who have received a degree in social work or an equivalent degree. Sets ceilings on the total principal amount of new loans made and installments paid pursuant to lines of credit to borrowers covered by Federal loan insurance under specified provisions relating to loans to graduate students in health professions schools for FY 1989 through 1991. States that no insurance may be granted for any loan made or installment paid after September 30, 1994. Requires that the total principal amount of Federal loan insurance available in each fiscal year be granted without regard to any apportionment or other similar limitation. Requires interest on federally insured student loans under title VII to be compounded not more frequently than semiannually. (Current law requires the interest to be compounded semiannually.) Allows the Secretary of Health and Human Services to sell without recourse notes or other evidence of loans received by the United States through assignment by the insured after default. Prohibits a State statute of limitations from barring an action by an insured against a borrower if the action is commenced within six years of default. Revises provisions defining "school of allied health" as used in subpart I (Federal Program of Insured Loans to Graduate Students in Health Professions Schools) of part C of title VII to include programs that lead to baccalaureate as well as programs that lead to higher degrees. Adds references to schools of, and specified-level degrees in, chiropractic, allied health, and clinical psychology to provisions relating to the terms, conditions, and requirements concerning agreements between the Secretary and health professions schools, and between such schools and their students, regarding a student loan fund. Prohibits a State statute of limitations from barring an action by a school against a borrower if the action is commenced within six years of the date of default. Authorizes appropriations for making Federal capital contributions into the student loan funds of schools which have established the funds under specified provisions. Requires not less than 30 percent of the amounts appropriated in each fiscal year to be allocated to schools of allied health. Makes all schools which established such funds eligible for reallotment of funds from a student loan fund returned to the Secretary in any fiscal year. (Current law makes schools which established funds during a specified period eligible for reallotment.) Delays the period during which a capital distribution of the balance of the loan fund established by each school is required, changing it from between September 30, 1991, and December 31, 1991, to between September 30, 1994, and December 31, 1994. Amends part C (Student Assistance) of title VII to create a new subpart on traineeships. Authorizes the Secretary to make grants to accredited schools of public health to provide traineeships in biostatistics, epidemiology, health administration, health planning, health policy analysis, environmental or occupational health, dietetics and nutrition, preventive medicine or dentistry, or maternal and child health. Authorizes appropriations for FY 1989 through 1991. Adds chiropractic schools to the list of schools to which the Secretary must make grants for health professions scholarships for students in exceptional financial need. Removes a requirement that students be in their first year of study in order to be eligible for such scholarships. Sets forth the elements of which the scholarships may consist. (Current law sets forth the same consistency as required rather than allowed.) Authorizes appropriations for FY 1989 through 1991. Title II: Grants to Improve the Quality of Schools of Public Health - Amends part E (Grants to Improve the Quality of Schools of Public Health) of title VII of the Public Health Service Act to require capitation grants to be made for schools of public health for FY 1989 through 1991. Requires matching non-Federal funds. Authorizes appropriations for FY 1989 through 1991. Repeals provisions setting forth eligibility requirements for capitation grants. Title III: Grants and Contracts for Programs and Projects - Amends title VII of the Public Health Service Act to authorize appropriations for FY 1989 through 1991 for grants to establish, maintain, or improve departments which provide clinical instruction in family medicine. Requires the Secretary, under existing provisions relating to contracts with schools of medicine and osteopathy for the planning, development, and operation of area health education center programs, to enter into contracts to establish and support programs that include training of personnel to offer maternal health services and child health services, including oral health screening and treatment, in underserved areas, giving priority to areas along the border between the United States and Mexico, frontier areas, the Caribbean Basin, the Pacific Basin, and areas of disproportionately high infant mortality. Revises project eligibility criteria. Directs the Secretary to waive a requirement that a center be neither a school of medicine or osteopathy nor a subunit, parent, or member of a consortium of such entities if, at the time of the initial application for the contract, the center had an operating program supported by both appropriations of a State legislature and local resources. Revises program requirements. Authorizes appropriations for FY 1989 through 1991. Requires the Secretary, in making grants and entering into contracts for projects concerning residency training programs in internal medicine or pediatrics, to give priority to applicants that demonstrate a commitment to coordination of curriculum development and resident teaching activities with departments of family medicine where there is a department within the same school. Authorizes appropriations for FY 1989 through 1991. Allows the Secretary to enter into contracts as well as make grants for residency programs and advanced educational programs in the general practice of dentistry, and for traineeships and fellowships for students in such programs. Requires the Secretary, in making grants and entering into contracts for projects concerning professional training programs in family medicine, to give priority to applicants that demonstrate a commitment to coordination of curriculum development and resident teaching activities with departments of internal medicine and pediatrics where there is a department within the same school. Authorizes appropriations for FY 1989 through 1991. Revises the list of permissible uses for grants and contracts made under existing provisions to assist individuals from disadvantaged backgrounds to undertake education to enter a health profession, including allowing the paying of stipends to students enrolled in certain structured summer academic enrichment programs. Requires all individuals participating in activities supported by a grant to have completed to 10th grade of high school, or the equivalent. Requires certain types of schools receiving a grant to increase, during a period of three years, their first year enrollments of individuals from disadvantaged backgrounds by at least 20 percent, subject to exception. Authorizes appropriations for FY 1989 through 1991. Directs the Secretary to establish a supplemental grant program for grants to specified types of health professions schools that demonstrate sufficient graduation of students from disadvantaged backgrounds. Sets forth a payment formula. Requires payments to be used for financial aid and retention purposes for such students. Authorizes appropriations for FY 1990 and 1991. Sets forth reporting requirements with regard to grants, contracts, and supplemental grants for students from disadvantaged backgrounds. Replaces provisions relating to grants for two-year schools of medicine, interdisciplinary training, and curriculum development with provisions authorizing the Secretary to: (1) make grants to schools that provide the first or last two years of education leading to the degree of doctor of medicine or osteopathy; and (2) make grants and enter into contracts for the development and implementation of model projects in areas such as faculty and curriculum development, and development of new clinical training sites. Requires that priority in making grants and entering into contracts for the model projects be given to schools of medicine, osteopathy, dentistry, veterinary medicine, optometry, pharmacy, podiatry, public health, chiropractic, allied health, and to graduate programs in health administration and clinical psychology. Requires grant applications to be subject to peer review. Authorizes the Secretary to make grants to and enter into contracts with schools of medicine, osteopathy, and public health for residency training programs in preventive medicine. Authorizes the Secretary to make grants to and enter into contracts with public or nonprofit private entities for the training of physician assistants. Prohibits making grants or contracts unless the recipient has mechanisms for placing graduates. Authorizes appropriations for grants and contracts for two-year schools, faculty and curriculum development, training in preventive medicine, and programs for physician assistants for FY 1989 through 1991. Authorizes the Secretary to make grants and enter into contracts with health professions schools for assisting in meeting the costs of the schools of providing projects relating to geriatric training. Requires peer review of applications. Authorizes the Secretary to make grants to and enter into contracts with schools of medicine, schools of osteopathy, teaching hospitals, and graduate medical education programs for residencies, traineeships, and fellowships to train physicians and dentists who plan to teach geriatric medicine or geriatric dentistry. Authorizes appropriations for costs of geriatric training and for traineeships and fellowships in geriatrics for FY 1989 through 1991. Repeals provisions authorizing the Secretary to make grants and enter into contracts for the training of physician assistants. Changes the eligibility criteria for grants to health professions schools for minority education to require the applicant to have received a contract under specified provisions relating to advanced financial distress assistance in FY 1987. Title IV: Programs for Personnel in Health Administration and in Allied Health - Amends provisions of the Public Health Service Act relating to grants for graduate programs in health administration to direct the Secretary of Health and Human Services to make annual grants to educational entities to support graduate educational programs in health administration, hospital administration, and health planning. Authorizes the Secretary to make grants to certain educational entities for traineeships in health administration, hospital administration, or health policy analysis and planning. Authorizes appropriations for grants for graduate programs in health administration and for grants for traineeships in health or hospital administration or health policy analysis and planning for FY 1989 through 1991. Repeals provisions relating to traineeships for students in certain graduate programs, public health traineeships, and training in preventive medicine. Directs the Secretary to make grants to and enter into contracts with eligible entities to assist in meeting the costs of planning, developing, establishing, operating, and evaluating specified types of allied health projects. Authorizes appropriations for FY 1989 through 1991. Authorizes the Secretary to make grants to and enter into contracts with educational entities offering an allied health program to assist students in meeting the costs of entry level education. Requires that 80 percent of the funds available for the grants be used in connection with programs relating to the rehabilitation needs of the elderly population. Exempts from taxation any payment to or on behalf of a participating student of tuition under these provisions. Authorizes appropriations for FY 1989 through 1991. Authorizes the Secretary to make grants to and enter into contracts with educational entities to meet the costs of projects: (1) involving doctoral programs for the advanced specialty training of allied health professionals who plan to teach and conduct research; and (2) provide financial assistance in the form of traineeships or fellowships to certain doctoral and postdoctoral students in an allied health discipline. Authorizes appropriations for FY 1989 through 1991. Replaces provisions relating to educational assistance to disadvantaged individuals in allied health training with provisions directing the Secretary to make grants to, or enter into contracts and cooperative agreements with, and provide technical assistance to, any non-profit entity to establish a uniform allied health professions data reporting system to collect, compile, and analyze data on the allied health professions personnel. Sets forth reporting requirements. Authorizes appropriations for FY 1989 through 1991. Establishes the Council on Allied Health Education to advise the Secretary and the Committees on Labor and Human Resources and Finance of the Senate and the Committees on Energy and Commerce and Ways and Means of the House of Representatives with respect to the supply and distribution of allied health personnel, current and future shortages or excess of such personnel, appropriate Federal policies, and other matters. Title V: Graduate Medical Education - Authorizes appropriations for the Council on Graduate Medical Education for FY 1989 through 1991. Title VI: Miscellaneous - Amends title III (General Powers and Duties of Public Health Service) of the Public Health Service Act to include individuals receiving a degree from a school of clinical psychology in provisions regulating the period of obligated service under the National Health Service Corps Scholarship Program. Directs the Secretary, not later than 18 months after enactment of this Act, to request the chief executive officer of each State, the District of Columbia, and specified territories to submit to the Secretary an assessment of the greatest health manpower shortages, by discipline of health care providers and by allopathic and osteopathic specialty, in each such jurisdiction. Directs the Secretary to compile and analyze the information and report to the appropriate Committees of the Congress as a part of the October 1, 1991, report required by specified provisions. Amends title VII (Health Research and Teaching Facilities and Training of Professional Health Personnel) of the Public Health Service Act to authorize any borrower who received a loan insured under the Federal program of insured loans to graduate students in health professions schools at a fixed rate in excess of 12 percent to enter into an agreement with the eligible lender that made the loan for the reissuance of the loan at the interest rate in effect for loans under such program on the date of application for reissuance. Sets forth procedures. Allows an eligible lender reissuing a loan to charge a borrower a limited amount to cover administrative costs. Requires each holder of a loan to notify the borrower of the reissuance or refinancing options available. Requires that a minimum sum from amounts appropriated under title VII of the Public Health Service Act be used in each fiscal year to provide scholarships for full-time students of exceptional financial need under specified provisions. | 2025-04-21T12:24:17Z |