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42 U.S.C. 2951-1

1974, June 30, 1975, and June 30, 1976, and $133,700,000 for the fiscal year ending September 30, 1977, for grants under this section to schools of medicine, osteopathy, and dentistry.

(2) There are authorized to be appropriated $34,000,000 for the fiscal year ending June 30, 1972, $37,000,000 for the fiscal year ending June 30, 1973, $41,000,000 each for the fiscal years ending June 30, 1974, June 30, 1975, and June 30, 1976, and $29,300,000 for the fiscal year ending September 30, 1977, for grants under this section to schools of veterinary medicine, optometry, pharmacy, and podiatry.

(3) No funds appropriated under any provision of this Act (other than this subsection) may be used to make grants under this section.

START-UP ASSISTANCE

SEC. 771. (a) (1) In the case of any new school of medicine, osteopathy or dentistry which begins instruction after the date of enactment of this section, the Secretary may, & after taking into account

(A) the ability of such school to use a grant under this section to (i) accelerate the date it will begin instruction, or (ii) increase the number of students in its entering class, and

(B) the other resources available to such school, make a grant to such school for each year such school is a new school (as determined under paragraph (4)). No school may receive a grant under this subsection unless the Secretary estimates that the number of full-time students enrolled in its first academic year of operation will exceed twenty-three.

(2) The Secretary shall determine the amount of any grant under this subsection; but no such grant to any school may exceed

(A) in the case of the year preceding the first year in which such school has students enrolled, an amount equal to the product of $10,000 and the number of full-time students which the Secretary estimates will enroll in such school in such first

year;

(B) in the case of the first year in which such school has students enrolled, an amount equal to the product of $7,500 and the number of full-time students enrolled in such school in such year;

(C) in the case of the second year in which such school has students enrolled, an amount equal to the product of $5,000 and the number of full-time students enrolled in such school in such year;

(D) in the case of the third year in which such school has students enrolled, an amount equal to the product of $2,500 and the number of full-time students enrolled in such school in such year.

Estimates by the Secretary under this subsection of the number of full-time students enrolled in a school may be made on the basis of assurances provided by the school.

(3) The Secretary shall give special consideration to each application of a school for grant assistance under this subsection which contains or is reasonably supported by assurances, that, because of the use that the school will make of existing facilities (including Federal medical or dental facilities), it will be able to accelerate the date on which it will begin its teaching program.

(4) For purposes of this subsection, any school of medicine, osteopathy, or dentistry shall be considered a new school for any year if such year is the year preceding the first year in which such school has students. enrolled, such first year, and the next two years.

(5) Payments under grants under this subsection may be made in advance or by way of reimbursement, and at such intervals and on such conditions, as the Secretary finds necessary.

(6) There is authorized to be appropriated to make grants under this subsection not to exceed $10,000,000 for each of the next four fiscal years, and not to exceed $5,100,000 for the fiscal year ending September 30, 1977. Sums appropriated under this paragraph shall remain available until expended.

(b) (1) The Secretary shall make a grant to any public or nonprofit private two-year school of medicine (or any school accredited as such a two-year school) which intends to become a school accredited to grant the degree of doctor of medicine. The amount of the grant to a school under this subsection shall be equal to the product of $50,000 and the number of third-year students which the Secretary determines will be initially enrolled in such school. Upon application by the school, the Secretary shall (if the school so requests) make a grant to such school for expenditure in the year preceding the initial enrollment of third-year students in such school, or thereafter. No school may receive more than one grant under this subsection.

(2) No grant may be made under this subsection unless an application therefor has been submitted before October 1, 1977, and the school enrolls third-year students not later than the school year beginning in the fiscal year ending September 30, 1978. The Secretary may not approve an application for a grant under this subsection unless he determines it contains or is supported by reasonable assurances that the school for which the application is made will be affiliated with an accredited hospital in the fiscal year for which such grant is made. Payments under grants under this subsection may be made in advance or by way of reimbursement, and at such intervals and on such conditions, as the Secretary finds necessary.

42 U.S.C. 295f-2

SPECIAL PROJECT GRANTS AND CONTRACTS

SEC. 772. (a) The Secretary may make grants to assist schools of medicine, osteopathy, dentistry, veterinary medicine, optometry, pharmacy, and podiatry in meeting the costs of special projects to

(1) effect significant improvements in the curriculums of any such schools (including projects to shorten the length of time required for training in such schools), with particular emphasis, in the case of schools of medicine or osteopathy, upon the establishment of new, or expansion of existing, programs for training in family medicine;

(2) develop programs for cooperative interdisciplinary training among schools of medicine, osteopathy, dentistry, veterinary medicine, optometry, pharmacy, podiatry, nursing, public health, and allied health, including projects for training in the use of the team approach to the delivery of health services;

(3) develop and operate training programs, and train, for new roles, types, or levels of health personnel, including programs for the training of physicians' assistants and other health professions' assistants;

(4) plan, develop, or establish new programs, or innovative modifications of existing programs, of education in such health professions, including the teaching of the organization, delivery, financing, or evaluation of health care;

(5) research, develop, or demonstrate advances in the various fields related to education in such health professions;

(6) assist in increasing the supply, or improving the distribution, by geographic area or specialty group, of adequately trained personnel in such health professions needed to meet the health needs of the Nation;

(7) establish and operate programs at schools of medicine or osteopathy (and where applicable at other health professions schools) (A) providing increased emphasis on, and training in, the science of clinical pharmacology, the prevention, diagnosis, treatment, and rehabilitation of alcoholism and drug dependence, and the assessment of the efficacy of various therapeutic regimens, or (B) providing increased emphasis on, and training and research in, the science of human nutrition and the application of such science to health, or (C) providing increased emphasis on the ethical, social, legal, and moral implications of advances in biomedical research and technology with respect to the effects of such advances on individuals and society.

(8) establish and operate projects designed to identify, and increase admissions to and enrollment in schools of medicine, osteopathy, dentistry, veterinary medicine, optometry, pharmacy, and podiatry of, individuals whose background and interests make it reasonable to assume that they will engage in the practice of their health profession in rural or other areas having a severe shortage of personnel in such health profession;

(9) establish and operate projects designed to increase admissions to and enrollment in such schools of qualified individuals from minority or low-income groups;

(10) plan experimental teaching programs or facilities;

(11) provide traineeships (including costs of training and fees, stipends, and allowances for the students (including travel and subsistence expenses and dependency allowances)) for full-time students to secure part of their education under a preceptor in family practice, pediatrics, internal medicine, or other health fields designated by the Secretary, or in rural or other areas having a severe shortage of physicians;

(12) utilize health personnel more efficiently, through the use of computer technology and otherwise;

(13) encourage new or more effective approaches to the organization and delivery of health services through the use of the team approach to delivery of health services and the utilization of computer technology to process biomedical information in the provision of health services:

(14) establish and operate programs in the interdisciplinary training of health personnel for the provision of emergency medical services, with particular emphasis on the establishment and operation. of training programs affording clinical experience in emergency medical services systems receiving assistance under title XII of this Act.

The Secretary may also enter into contracts with public or private health or educational entities to carry out any project described in this subsection.

(b) Grants and contracts may also be made by the Secretary under this section for

(1) the discovery, collection, development, or confirmation of information for,

(2) the planning, development, demonstration, establishment or maintenance of,

(3) the alteration or renovation of existing facilities for, any project described in subsection (a). (c) Contracts under this section may be entered into without regard to sections 3648 and 3709 of the Revised Statutes (31 U.S.C. 529; 41 U.S.C. 5).

42 U.S.C. 2951-8

(d) There are authorized to be appropriated $118,000,000 for the fiscal year ending June 30, 1972, $138,000,000 for the fiscal year ending June 30, 1973, $156,000,000 each for the fiscal years ending June 30, 1974, June 30, 1975, and June 30, 1976, and $40,852,000 for the fiscal year ending September 30, 1977, for the purpose of making payments pursuant to grants and contracts under this section. Funds appropriated under this subsection for the fiscal year ending June 30, 1972, shall remain available for obligation through September 30, 1972.

GRANTS TO ASSIST HEALTH PROFESSIONS SCHOOLS WHICH ARE
IN FINANCIAL DISTRESS

SEC. 773. (a) There are authorized to be appropriated $20,000,000 for the fiscal year ending June 30, 1972, $15,000,000 for the fiscal year ending June 30, 1973, $15,000,000 each for the fiscal years ending June 30, 1974, June 30, 1975, and June 30, 1976, and $5,400,000 for the fiscal year ending September 30, 1977, to make grants under this section, and, to the extent that sums appropriated under this subsection are not used for such grants, for grants under section 772. Funds appropriated under this subsection for the fiscal year ending June 30, 1974, shall remain available for obligation through September 30, 1974.

(b) The Secretary may make grants to assist any school of medicine, osteopathy, dentistry, veterinary medicine, optometry, pharmacy, or podiatry which is in serious financial straits to meet its costs of operation or which has special need for financial assistance to meet accreditation requirements.

(c) Any grant under this section may be made upon such terms and conditions as the Secretary determines to be reasonable and necessary, including requirements that the school agree (1) to disclose any financial information or data deemed by the Secretary to be necessary to determine the sources or causes of that school's financial distress, (2) to conduct a comprehensive cost analysis study in cooperation with the Secretary, and (3) to carry out appropriate operational and financial reforms on the basis of information obtained in the course of the comprehensive cost analysis study or on the basis of other relevant information.

(d) An application for a grant under this section must contain or be supported by assurances satisfactory to the Secretary that the applicant will expend in carrying out its function as a school of medicine, osteopathy, dentistry. veterinary medicine, optometry, pharmacy, or podiatry, as the case may be, during the fiscal year for which such grant is sought, an amount of funds (other than funds. for construction, as determined by the Secretary) from non-Federal sources which is at least as great as the average amount of funds expended by such applicant for such

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