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42 U.S.C. § 254tDemonstration project

submitted 82 years ago by Pub. L. 107-251 to r/title-42-THE-PUBLIC-HEALTH-AND-WELFARE · 638 words · no verdicts yet

in plain englishAI-generated · not legal advice

This law set up a demonstration project letting chiropractic doctors and pharmacists join the Loan Repayment Program in rural and urban shortage areas. It required them to work alongside a physician or prescriber, barred the project from affecting shortage-area designations through 2004, and required a report to Congress.

(a) Program authorized: The Secretary had to create a demonstration project letting chiropractic doctors and pharmacists join the Loan Repayment Program under section 254l–1. (b) Procedure: Anyone getting help under this project had to follow all the same rules as the regular Loan Repayment Program — except the parts of section 254l–1(b)(1) that require a degree in medicine, dentistry, or a similar profession. (c) Limitations: (1) The project had to include people serving in both rural and urban areas. (2) The Secretary couldn't assign someone in this project to a site unless (A) a physician or other prescriber was already assigned to serve obligated service there under sections 254m or 254n, and (B) that physician or prescriber would serve at the same site at the same time. (3)(A) Nothing in this section required or implied that a physician or prescriber had to supervise a project participant. (B) Nothing in this section overrode state licensing laws for health professionals. (d) Designations: During fiscal years 2002 through 2004, the Secretary could not consider this project, or its participating providers, when deciding whether to designate a health professional shortage area. (e) Rule of construction: This section did not require any state to take part in the project. (f) Report: (1) The Secretary had to evaluate the project and send a report to four specific congressional committees: the Senate Committee on Health, Education, Labor, and Pensions; the Senate Labor-HHS-Education Appropriations Subcommittee; the House Committee on Energy and Commerce; and the House Labor-HHS-Education Appropriations Subcommittee. (2) That report had to cover (A) how the project affected access to primary care, patient satisfaction, care quality, and services for traditionally underserved populations; (B) how including chiropractic doctors and pharmacists might affect shortage-area designations; and (C) whether making them permanent members of the National Health Service Corps would be practical and would help the Corps. (g) Authorization of appropriations: (1) Congress was authorized to appropriate whatever was necessary for fiscal years 2002 through 2004. (2) If the Secretary certified to Congress, by September 30, 2004, that too few people had joined the project to properly evaluate it, this authorization would extend to include fiscal year 2005 too.
the actual law source: uscode.house.gov ↗public domain
(a) Program authorized

The Secretary shall establish a demonstration project to provide for the participation of individuals who are chiropractic doctors or pharmacists in the Loan Repayment Program described in section 254l–1 of this title.

(b) Procedure

An individual that receives assistance under this section with regard to the program described in section 254l–1 of this title shall comply with all rules and requirements described in such section (other than subparagraphs (A) and (B) of section 254l–1(b)(1) of this title) in order to receive assistance under this section.

(c) Limitations
(1) In general

The demonstration project described in this section shall provide for the participation of individuals who shall provide services in rural and urban areas.

(2) Availability of other health professionals

The Secretary may not assign an individual receiving assistance under this section to provide obligated service at a site unless—

(A)

the Secretary has assigned a physician (as defined in section 1395x(r) of this title) or other health professional licensed to prescribe drugs to provide obligated service at such site under section 254m or 254n of this title; and

(B)

such physician or other health professional will provide obligated service at such site concurrently with the individual receiving assistance under this section.

(3) Rules of construction
(A) Supervision of individuals

Nothing in this section shall be construed to require or imply that a physician or other health professional licensed to prescribe drugs must supervise an individual receiving assistance under the demonstration project under this section, with respect to such project.

(B) Licensure of health professionals

Nothing in this section shall be construed to supersede State law regarding licensure of health professionals.

(d) Designations

The demonstration project described in this section, and any providers who are selected to participate in such project, shall not be considered by the Secretary in the designation of a health professional shortage area under section 254e of this title during fiscal years 2002 through 2004.

(e) Rule of construction

This section shall not be construed to require any State to participate in the project described in this section.

(f) Report
(1) In general

The Secretary shall evaluate the participation of individuals in the demonstration projects under this section and prepare and submit a report containing the information described in paragraph (2) to—

(A)

the Committee on Health, Education, Labor, and Pensions of the Senate;

(B)

the Subcommittee on Labor, Health and Human Services, and Education of the Committee on Appropriations of the Senate;

(C)

the Committee on Energy and Commerce of the House of Representatives; and

(D)

the Subcommittee on Labor, Health and Human Services, and Education of the Committee on Appropriations of the House of Representatives.

(2) Content

The report described in paragraph (1) shall detail—

(A)

the manner in which the demonstration project described in this section has affected access to primary care services, patient satisfaction, quality of care, and health care services provided for traditionally underserved populations;

(B)

how the participation of chiropractic doctors and pharmacists in the Loan Repayment Program might affect the designation of health professional shortage areas; and

(C)

whether adding chiropractic doctors and pharmacists as permanent members of the National Health Service Corps would be feasible and would enhance the effectiveness of the National Health Service Corps.

(g) Authorization of appropriations
(1) In general

There are authorized to be appropriated to carry out this section, such sums as may be necessary for fiscal years 2002 through 2004.

(2) Fiscal year 2005

If the Secretary determines and certifies to Congress by not later than September 30, 2004, that the number of individuals participating in the demonstration project established under this section is insufficient for purposes of performing the evaluation described in subsection (f)(1), the authorization of appropriations under paragraph (1) shall be extended to include fiscal year 2005.

Source credit: (July 1, 1944, ch. 373, title III, § 338L, as added Pub. L. 107–251, title III, § 317, Oct. 26, 2002, 116 Stat. 1653.)

history & why it existsrecord from the source credit
  • 1944Enacted · Pub. L. 107-251 · 116 Stat. 1653

A history note hasn’t been published yet. The record shows enactment by Pub. L. 107-251 on 1944-07-01.

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