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91ST CONGRESS 2D SESSION

S. 4208

IN THE SENATE OF THE UNITED STATES

AUGUST 10, 1970

Mr. MURPHY (for himself, Mr. DOMINICK, Mr. JAVITS, Mr. PROUTY, and Mr. SAXBE) introduced the following bill; which was read twice and referred to the Committee on Labor and Public Welfare

A BILL

To amend title VII of the Public Health Service Act by providing for the establishment of a family physician scholarship and fellowship program.

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 3 That this Act may be cited as the "Family Physician 4 Scholarship and Fellowship Program Act".

5 SEC. 2. Title VII of the Public Health Service Act is

6 amended by adding at the end thereof the following new

7 part:

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"PART H-FAMILY PHYSICIAN SCHOLARSHIP AND

FELLOWSHIP PROGRAM

"SCHOLARSHIP AND FELLOWSHIP GRANTS

"SEC. 799a. (a) In order to promote the more adequate

5 provision of medical care for persons who

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"(A) reside in a physician shortage area (as de

termined pursuant to section 799c (b)) ;

"(B) are migratory agricultural workers or mem

bers of the families of such workers;

10 the Secretary is authorized, in accordance with the provi

11 sions of this part

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"(C) to make scholarship grants to individuals who are medical students and who agree, after completion of their professional training, to engage in the practice of family medicine (i) in a physician shortage area, or

(ii) at such place or places, such facility or facilities, and in such manner, as may be necessary to assure that,

of the patients receiving medical care in such practice, a substantial portion will consist of persons referred to in clause (B); and

"(D) to make fellowship grants to individuals who (while undergoing training, or receiving professional experience, designed to prepare them to engage in the practice of family medicine) are serving as interns or resi

dents in public or nonprofit private hospitals which (i)

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are located in a physician shortage area, or (ii) a sub

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stantial portion of the patients of which consists of per

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4 For purposes of subparagraph (D) of the preceding sen

tence, training or experience in obstetrics, pediatrics,

6 ternal medicine shall be considered to be training or experi

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ence preparing an individual to engage in the practice of

family medicine.

9 "(b) (1) Scholarship grants under this part shall be

10 made with respect to academic years, and fellowship grants

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under this part shall be made with respect to 12-month

periods.

"(2) The amount of any medical student scholarship 14 grant under this part to any individual for any full academic

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year shall not exceed $5,000; the amount of any intern

fellowship grant under this part to any individual for any

twelve-month period shall not exceed $9,000; and the

amount of any resident fellowship grant under this part to any individual for any twelve-month period shall not exceed $10,000 (in the case of an individual who, for a preceding

twelve-month period, has not received a resident fellowship

grant under this part), or $12,000 (in any other case).

"(3) The Secretary shall, in awarding medical student 24 scholarship grants under this part, accord priority to appli

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"(A) first, to any applicant who (i) is from a low-income family, (ii) resides in a physician shortage

area, and (iii) agrees that, upon completion of his pro

fessional training, he will return to such area and will

engage in such area in the practice of family medicine;

"(B) second, to any applicant who meets all the criteria set forth in subparagraph (A) except that prescribed in clause (i);

"(C) third, to any applicant who meets the criterion

set forth in clause (i); and

"(D) fourth, to any other applicant.

"(c) (1) Any medical student scholarship grant 13 awarded to any individual under this part shall be awarded

14 upon the condition that such individual will, upon comple15 tion of his professional training, engage in the practice of family medicine

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"(A) in the case of any individual who, in applying for a medical student scholarship grant under this part, met the criteria set forth in subparagraph

(A) or (B) of subsection (b) (3), in the physician shortage area in which he agreed (pursuant to such subparagraph) to engage in such practice; and

"(B) in the case of any individual who did not

agree (pursuant to such subparagraph (A) or (B)) to

engage in such practice in any particular physician short

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age area or has been waived (pursuant to paragraph

(4)) to engage in such practice in any particular phy

sician shortage area—

"(i) in any physician shortage area, or

"(ii) at such place or places, in such facility or facilities, and in such manner, as may be neces

sary to assure that, of the patients receiving medical care provided by such individual, a substantial por

tion will consist of persons who are migratory agricultural workers or are members of the families of such workers;

12 for a twelve-month period for each full academic year with 13 respect to which he receives such a scholarship grant. For 14 purposes of the preceding sentence, any individual, who has 15 received a medical student scholarship grant under this part 16 for four full academic years and who has received fellow17 ship grants under this part for three full twelve-month 18 periods, shall be deemed to have received a medical student 19 scholarship grant under this part for only three full academic

20 years.

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"(2) The condition imposed by paragraph (1) shall 22 be complied with by any individual to whom it applies 23 within such reasonable period of time, after the completion 24 of such individual's professional training, as the Secretary 25 shall by regulations prescribe.

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