Health Professions Education Extension Amendments of 1992

enactedUnited States· United States Congress· EN

Introduced

3 October 1991

Last action

13 October 1992 · President

Status

Became Public Law No: 102-408.

Summary

Health Professions Education Amendments of 1991 - Amends the Public Health Services Act to require giving priority, in providing financial assistance under title VII (Health Research and Teaching Facilities and Training of Professional Health Personnel) of the Act, to applicants that have trained or can be expected to train health or allied health professionals who provide primary health services to a substantial number of medically underserved individuals. Sets forth additional requirements applicable to schools of medicine or osteopathic medicine and residency programs. Sets limits on the total principal amount for specified fiscal years for the Federal loan insurance program under certain provisions relating to the training of health personnel. Modifies requirements regarding: (1) when repayment must begin; (2) the premium charged; and (3) default rate limits for institutions, lenders, and holders, including allowing rate limits and penalties to be applied differently for different health professions. Establishes in the Division of Student Assistance of the Health Resources and Services Administration the Office on Student Loan Debt Collections. Prohibits funds which are returned to the Secretary of Health and Human Services from a student loan fund for disadvantaged individuals from being used for any other purpose. Authorizes appropriations for scholarships for health professions students of exceptional financial need. Allows scholarships under specified provisions to be used only for students who are from disadvantaged backgrounds and (currently, or) for whom school costs would constitute a severe financial hardship. Authorizes appropriations. Bars from entering into a contract individuals who have been faculty members at a school during a specified length of time before the application for a contract under provisions relating to loan payment for individuals who serve on the faculty of health professions schools. Reduces the percentage of principal and interest of an individual which may be repaid by the program. Authorizes appropriations for grants to establish departments of family medicine. Repeals the authorization after the specified fiscal year. Authorizes appropriations for area health education centers and area health education and training centers. Adds schools of osteopathic medicine to the definition of "health professions school" for provisions relating to programs of excellence in health professions education for minorities. Authorizes appropriations. Allows grants and contracts for traineeships and fellowships in general internal medicine and general pediatrics to be used for internship and residency programs (currently, for residency programs) for medical students, interns, residents, or practicing physicians (currently, for residents). Authorizes appropriations. Authorizes appropriations for residency programs in the general practice of dentistry and for family medicine training programs. Requires that educational assistance grants to individuals from disadvantaged backgrounds be equitably: (1) geographically distributed; and (2) allocated among the various racial and ethnic populations. Authorizes appropriations. Replaces provisions authorizing grants and contracts for training in preventive medicine with similar provisions transferred from provisions relating to special projects. Authorizes appropriations. Removes provisions authorizing grants: (1) for two-year schools of medicine or osteopathy; and (2) for faculty and curriculum development and clinical training sites. Authorizes grants and contracts for health professions research relating to: (1) the impact of student indebtedness on specialty choice and practice location; (2) the impact of minority health professional programs in majority schools on recruitment, retention, and practice choices of minority health personnel; (3) the effects of graduate medical education payments on the distribution of physician specialties; or (4) the effectiveness and variation of State licensing authorities in identifying problem providers and undertaking disciplinary actions. Authorizes appropriations for the remaining provisions relating to special projects and for the health professions research. Authorizes appropriations relating to: (1) training with respect to acquired immune deficiency syndrome (AIDS); and (2) oral health care for patients with AIDS. Adds references to schools that offer graduate programs in medical social work to provisions authorizing grants and contracts for: (1) educational assistance to individuals with disadvantaged backgrounds; and (2) training faculty to teach students to care for the health care needs of individuals with AIDS. Adds references to medical social workers to provisions allowing the collection of certain data about health professionals. Authorizes grants and contracts, under existing provisions relating to geriatric medicine and geriatric dentistry, for training optometrists to teach geriatric optometry. Modifies recipient requirements and training options. Authorizes appropriations for geriatric education centers and geriatric training. Replaces provisions relating to special projects with provisions authorizing grants and contracts for projects to: (1) meet the objectives established by the Secretary of Health and Human Services for the health status of the U.S. population for the year 2000; (2) recruit individuals for education in health specialties as necessary to meet the objectives; and (3) improve access to community-based health programs. Authorizes appropriations. Sets forth priorities for grants for traineeships under existing provisions. Authorizes appropriations. Requires, in providing grants and contracts under existing provisions relating to allied health personnel, special consideration to needs regarding the supply of physical therapists, occupational therapists, and clinical laboratory technologists. Authorizes appropriations. Authorizes grants and contracts to: (1) develop and operate postgraduate (currently, doctoral) programs for advanced specialty training of allied health professionals who plan to teach and conduct research; and (2) provide financial assistance for traineeships or fellowships to students in such programs. Requires special consideration regarding physical therapists, occupational therapists, and clinical laboratory technologists. Authorizes appropriations. Makes programs that specialize in training marriage and family therapy eligible for grants and contracts under existing provisions relating to health care for rural areas. Removes provisions mandating a study of manpower training needs in rural areas. Authorizes appropriations to carry out remaining rural health care provisions. Removes provisions: (1) establishing a loan repayment program for allied health personnel; (2) mandating grants for Lister Hill scholarships (requiring the practice of family medicine in a health professional shortage area); (3) authorizing grants for departments of family medicine; (4) establishing a retention program for individuals from disadvantaged backgrounds in health professions schools; (5) authorizing grants and contracts for educational assistance to disadvantaged individuals in allied health training; and (6) authorizing appropriations for FY 1989 through 1991 to carry out provisions relating to the Council on Graduate Medical Education. Removes provisions authorizing grants for: (1) continuing education for nurses; (2) geriatric training; and (3) facilitation of agreements between nursing students and health facilities for the repayment of educational loans. Replaces provisions authorizing grants for training to develop curricula regarding baccalaureate degrees in nursing with provisions authorizing grants for training for paraprofessional nursing personnel to become licensed vocational or practical nurses. Removes provisions authorizing: (1) grants and contracts relating to geriatric nursing; and (2) grants for innovative hospital nursing practice models. Authorizes appropriations for remaining provisions relating to nursing education special projects. Revises authorities for grants and contracts for advanced nurse education programs. Authorizes appropriations. Revises authorities for grants and contracts for nurse practitioner and nurse midwife programs. Removes authority to make grants and contracts for traineeships relating to such programs. Authorizes appropriations. Authorizes appropriations for special projects relating to nursing education opportunities for individuals from disadvantaged backgrounds. Removes authority to make grants for: (1) post-baccalaureate fellowships for faculty of schools of nursing; and (2) traineeships for nurses in masters' degree and doctoral degree programs for practice as nurse administrators, nurse educators, and nurse researchers. Revise priorities in, and authorizes appropriations to carry out, remaining provisions relating to traineeships for the education of professional nurses. Requires special consideration, in making grants for traineeships for registered nurses to become nurse anesthetists, to programs providing experience in rural hospitals and rural clinics. Authorizes appropriations. Authorizes appropriations for nursing student loan repayment in return for service in certain health facilities. Requires that returned Federal capital contributions to nursing student loan funds be available under provisions relating to such loan repayment (currently, under provisions relating to undergraduate education of professional nurses). Removes provisions authorizing grants for scholarships for the training of professional nurses. Allows grants and contracts under existing provisions relating to geriatric education centers to be made to schools of nursing as well as to schools of allied health. Mandates a study regarding the shortage of clinical laboratory technologists in the United States. Establishes the Advisory Council on Medical Licensure to take specified actions, including giving advice regarding the establishment and operation of a system of verifying and maintaining information on the qualifications of individuals to practice medicine. Mandates a study of at least ten States regarding licensure of domestic and foreign medical graduates.

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Timeline

3 October 1991
Introduced
Referred to the House Committee on Energy and Commerce.
Source: IntroReferral
3 October 1991
Introduced
Introduced in House
Source: IntroReferral
3 October 1991
Introduced
Introduced in House
Source: IntroReferral
8 October 1991
Reported
Ordered to be Reported (Amended).
Source: Committee
8 October 1991
Committee
Committee Consideration and Mark-up Session Held.
Source: Committee
24 October 1991
Passed
Mr. Waxman asked unanimous consent that the Committee on Energy and Commerce have until 6:00 p.m. on Oct. 25 to file a report on H.R. 3508. Agreed to without objection.
Source: Committee
25 October 1991
Calendars
Placed on the Union Calendar, Calendar No. 165.
Source: Calendars
25 October 1991
Reported
Reported (Amended) by the Committee on Energy and Commerce. H. Rept. 102-275.
Source: Committee
25 October 1991
Reported
Reported (Amended) by the Committee on Energy and Commerce. H. Rept. 102-275.
Source: Committee
12 November 1991
Passed
Motion to reconsider laid on the table Agreed to without objection.
Source: Floor
12 November 1991
Passed
On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote.
Source: Floor
12 November 1991
Passed
Passed/agreed to in House: On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote.
Source: Floor
12 November 1991
Floor
DEBATE - The House proceeded with forty minutes of debate.
Source: Floor
12 November 1991
Floor
Considered under suspension of the rules.
Source: Floor
12 November 1991
Floor
Mr. Waxman moved to suspend the rules and pass the bill, as amended.
Source: Floor
15 November 1991
Introduced
Received in the Senate.
Source: IntroReferral
20 November 1991
Introduced
Read twice. Placed on Senate Legislative Calendar under General Orders. Calendar No. 337.
Source: Calendars
26 November 1991
Floor
Measure laid before Senate by unanimous consent.
Source: Floor
26 November 1991
ResolvingDifferences
Senate insists on its amendment, asks for a conference, appoints conferees Kennedy; Metzenbaum; Simon; Hatch; Kassebaum.
Source: ResolvingDifferences
26 November 1991
Passed
Passed/agreed to in Senate: Passed Senate with an amendment by Voice Vote.
Source: Floor
18 March 1992
Floor
By unanimous consent, the Speaker reserved the right to make additional appointments.
Source: Floor
18 March 1992
Passed
Motion to reconsider laid on the table Agreed to without objection.
Source: ResolvingDifferences
18 March 1992
ResolvingDifferences
The Chair appointed conferees: Dingell, Waxman, Richardson, Lent, and Bliley.
Source: ResolvingDifferences
18 March 1992
Passed
On motion that the House disagree to the Senate amendment, and agree to a conference Agreed to without objection.
Source: ResolvingDifferences
18 March 1992
ResolvingDifferences
Mr. Waxman asked unanimous consent that the House disagree to the Senate amendment, and agree to a conference.
Source: ResolvingDifferences
24 September 1992
Passed
Conferees agreed to file conference report.
Source: ResolvingDifferences
24 September 1992
Passed
Conference committee actions: Conferees agreed to file conference report.
Source: ResolvingDifferences
25 September 1992
ResolvingDifferences
Conference papers: Senate report and managers' statement and official papers held at the desk in Senate.
Source: ResolvingDifferences
25 September 1992
Passed
Conference report agreed to in Senate: Senate agreed to conference report by Voice Vote.
Source: ResolvingDifferences
28 September 1992
Floor
Message on Senate action sent to the House.
Source: Floor
29 September 1992
Passed
On motion to suspend the rules and agree to the conference report Agreed to by voice vote.
Source: ResolvingDifferences
29 September 1992
Passed
Motions to reconsider laid on the table Agreed to without objection.
Source: ResolvingDifferences
29 September 1992
Passed
Conference report agreed to in House: On motion to suspend the rules and agree to the conference report Agreed to by voice vote.
Source: ResolvingDifferences
29 September 1992
Floor
DEBATE - The House proceeded with forty minutes of debate.
Source: Floor
29 September 1992
ResolvingDifferences
Mr. Wyden moved to suspend the rules and agree to the conference report, H. Rept. 102-925.
Source: ResolvingDifferences
29 September 1992
ResolvingDifferences
Conference report H. Rept. 102-925 filed.
Source: ResolvingDifferences
29 September 1992
ResolvingDifferences
Conference report filed: Conference report H. Rept. 102-925 filed.
Source: ResolvingDifferences
30 September 1992
Floor
Message on House action received in Senate.
Source: Floor
3 October 1992
President
Presented to President.
Source: President
3 October 1992
Floor
Presented to President.
Source: Floor
13 October 1992
Became law
Became Public Law No: 102-408.
Source: President
13 October 1992
Became law
Signed by President.
Source: BecameLaw
13 October 1992
President
Signed by President.
Source: President

Votes

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Versions

Engrossed Amendment Senate · — · Download file
Engrossed in House · — · Download file
Enrolled Bill · — · Download file
Introduced in House · — · Download file
Placed on Calendar Senate · — · Download file
Received in Senate · — · Download file
Reported in House · — · Download file

Documents

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Reported in House (text)

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Reported in House (text)
Reported in House · EN
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Received in Senate (text)
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Placed on Calendar Senate (text)
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Introduced in House (text)
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Enrolled Bill (text)
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Engrossed in House (text)
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Engrossed Amendment Senate (text)
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Public Law (PDF)
Public Law · EN · 14 October 1992
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Conference report filed in House
summary · EN · 29 September 1992
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Passed Senate amended
summary · EN · 26 November 1991
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Introduced in House
summary · EN · 3 October 1991
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Related records

amends ← To provide for the Health Professions Training and Nurse Education Improvement and Reauthorization Act of 1991.

Related across the Repo ecosystem

Direct relationships are identifier-backed. Topic context means shared TopicMembership — not a citation and not causation.

Direct relationships

Legal framework · Health Professions Education Extension Amendments of 1992 · H.R. 3508 (102nd) · US

Identifier matchPROJECTS_FROM
Same us record 102-hr-3508 projected from PoliticalRepo US row.
Health Professions Education Extension Amendments of 1992

Sources

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Official source: https://www.congress.gov/bill/102nd-congress/house-bill/3508
Open data entity: https://api.congress.gov/v3/bill/102/hr/3508
us · 102-hr-3508 · source updated 5 February 2024