Health Professions Education Extension Amendments of 1992

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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Documents

11 official files

• Reported in House (text)

  Reported in House · EN

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• Received in Senate (text)

  Received in Senate · EN

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• Placed on Calendar Senate (text)

  Placed on Calendar Senate · EN

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• Introduced in House (text)

  Introduced in House · EN

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• Enrolled Bill (text)

  Enrolled Bill · EN

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• Engrossed in House (text)

  Engrossed in House · EN

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• Engrossed Amendment Senate (text)

  Engrossed Amendment Senate · EN

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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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