National Health Service Corps Revitalization Amendments of 1990

Summary

National Health Service Corps Revitalization Amendments of 1990 - Title I: Revisions in General Program for National Health Service Corps - Amends the Public Health Service Act provisions relating to the purpose of the National Health Service Corps to require that the Secretary of Health and Human Services use the Corps to provide primary health services in health manpower shortage areas. Removes a limitation on the dollar amount of pay increases which may be granted to a Corps member during the first 36 months of service. Removes provisions directing the Secretary, in assigning Corps members, to: (1) give priority to meeting Indian Health Service and other indian tribe or tribal organization needs; and (2) provide special consideration to homeless populations who do not have access to primary health care services. Applies certain definitions to provisions relating to Corps scholarship and loan programs as well as to provisions relating directly to the Corps. Requires that a complete descriptive list of health manpower shortage areas be published in the Federal Register by specified deadlines. Includes in the definition of "medical facility": (1) health programs or facilities operated by a tribe or tribal organization; and (2) facilities used in connection with provisions relating to health services for homeless individuals. Allows the Secretary to assign members of the Corps to an entity to provide health services in a health manpower shortage area only if there has been (currently, will be) appropriate and efficient use of Corps members assigned to that entity for the area. Removes certain provisions relating to priorities and considerations in assigning Corps personnel, replacing some such provisions with similarly worded provisions. Sets forth the exclusive factors the Secretary may consider in determining the areas with the greatest shortages. Requires annual publication in the Federal Register of a list of areas that are to be given priority in the assignment of Corps members and, for FY 1991, a list of entities authorized to receive assignments of Corps members. Replaces provisions relating to grants and contracts for programs respecting preparation for practice of individuals subject to a service obligation with provisions: (1) concerning consideration of characteristics of Corps members in making assignments; (2) requiring certain types of counseling of Corps members; (3) requiring assistance to Corps members in establishing local professional relationships; (4) directing the Secretary to provide assistance regarding temporary relief from Corps duties in order to pursue continuing education or other interests, including vacations; and (5) directing the Secretary to carry out activities to determine the characteristics of health professionals who are more likely to remain in shortage areas after completion of Corps service, and to determine the appropriate conditions for the assignment of certified nurse practitioners, certified nurse midwives, and physician assistants. Authorizes appropriations. Title II: Scholarship and Loan Repayment Programs of National Health Service Corps - Replaces measures providing for the establishment of the National Health Service Corps Scholarship Program with similar provisions directing the Secretary to establish such a Scholarship Program to assure, with respect to primary health services, an adequate supply of health professionals. (Current law makes no reference to primary health services.) Requires that an agreement to work as a provider of primary health services in a shortage area (currently, an agreement to work in a shortage area) be a part of the scholarship contract. Alters the priorities in providing contracts under the Scholarship Program to include an individual with characteristics that increase the probability that the individual will continue to serve in a shortage area after completion of obligated service. Changes the required contents of an annual report mandated by current law regarding the Scholarship Program. Replaces measures providing for the establishment of the National Health Service Corps Loan Repayment Program with similar provisions directing the Secretary to establish such a Loan Repayment Program to assure, with respect to the provision of primary health services, an adequate supply of health professionals. (Current law makes no reference to primary health services.) Requires that an agreement to work as a provider of primary health services in a shortage area (currently, an agreement to work in a shortage area) be a part of the loan repayment contract. Changes eligibility procedures for the Loan Repayment Program. Replaces provisions governing priorities in providing loan repayment contracts with provisions directing the Secretary to give priority to an individual who has characteristics that increase the probability that the individual will continue to serve in a shortage area after completion of obligated service. Increases the limit on the amount the Secretary may pay for each year of obligated service. Removes provisions allowing fulfillment of a service obligation in the Indian Health Service or in a program or facility operated by a tribe or a tribal organization. Requires (currently, allows) the Secretary to pay all (currently, part or all) of any increase in Federal income tax liability of an individual which arises as a result of the loan repayments. Changes the required contents of an annual report mandated by current law regarding the Loan Repayment Program. Requires that an annual report concerning the Scholarship Program and the Loan Repayment Program cover the next five years rather than the next three years. Authorizes appropriations, requiring set-asides in certain percentages for new applicants and for applicants in specified fields. Title III: State Offices of Rural Health - Authorizes the Secretary, through the Director of the Office of Rural Health Policy, to make grants to States for improving health care in rural areas through the operation of State offices of rural health. Requires recipient States to agree that such office will be provided with a minimum annual budget. Authorizes appropriations. Prohibits making grants under this program after the aggregate amounts appropriated reach a specified level. Title IV: General Provisions - Specifies the effective dates of provisions of this Act.

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Documents

10 official files

• Reported in House (text)

  Reported in House · 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 Amendment Senate (text)

  Engrossed Amendment Senate · EN

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• Engrossed in House (text)

  Engrossed in House · EN

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• Public Law (PDF)

  Public Law · EN · 17 November 1990

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• Conference report filed in House

  summary · EN · 25 October 1990

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• Passed Senate amended

  summary · EN · 4 August 1990

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• Introduced in House

  summary · EN · 4 April 1990

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