§294p. Rural areas

(a) Grants

The Secretary may make grants to, or enter into contracts with, any eligible applicant to help such applicant fund authorized activities under an application approved under subsection (d) of this section.

(b) Use of amounts

(1) In general

Amounts provided under subsection (a) of this section shall be used by the recipients to fund interdisciplinary training projects designed to-

(A) use new and innovative methods to train health care practitioners to provide services in rural areas;

(B) demonstrate and evaluate innovative interdisciplinary methods and models designed to provide access to cost-effective comprehensive health care;

(C) deliver health care services to individuals residing in rural areas;

(D) enhance the amount of relevant research conducted concerning health care issues in rural areas; and

(E) increase the recruitment and retention of health care practitioners in rural areas and make rural practice a more attractive career choice for health care practitioners.

(2) Methods

A recipient of funds under subsection (a) of this section may use various methods in carrying out the projects described in paragraph (1), including-

(A) the distribution of stipends to students of eligible applicants;

(B) the establishment of a post-doctoral fellowship program;

(C) the training of faculty in the economic and logistical problems confronting rural health care delivery systems; or

(D) the purchase or rental of transportation and telecommunication equipment where the need for such equipment due to unique characteristics of the rural area is demonstrated by the recipient.

(3) Administration

(A) In general

An applicant shall not use more than 10 percent of the funds made available to such applicant under subsection (a) of this section for administrative expenses.

(B) Training

Not more than 10 percent of the individuals receiving training with funds made available to an applicant under subsection (a) of this section shall be trained as doctors of medicine or doctors of osteopathy.

(C) Limitation

An institution that receives a grant under this section shall use amounts received under such grant to supplement, not supplant, amounts made available by such institution for activities of the type described in subsection (b)(1) of this section in the fiscal year preceding the year for which the grant is received.

(c) Eligible applicants

Applicants eligible to obtain funds under subsection (a) of this section shall include local health departments, nonprofit organizations and public or nonprofit colleges, universities, or schools of, or programs that specialize in, nursing, mental health practice, optometry, public health, dentistry, osteopathy, physicians assistants, pharmacy, podiatry, medicine, chiropractic, and allied health professions if such applicants submit applications approved by the Secretary under subsection (d) of this section. Applicants eligible to obtain funds under subsection (a) of this section shall not include for-profit entities, either directly or through a subcontract or subgrant.

(d) Applications

(1) Submission

In order to receive a grant under subsection (a) of this section an entity shall submit an application to the Secretary.

(2) Forms

An application submitted under this subsection shall be in such form, be submitted by such date, and contain such information as the Secretary shall require.

(3) Applications

Applications submitted under this subsection shall-

(A) be jointly submitted by at least two eligible applicants with the express purpose of assisting individuals in academic institutions in establishing long-term collaborative relationships with health care providers in rural areas;

(B) designate a rural health care agency or agencies for clinical treatment or training, including hospitals, community health centers, migrant health centers, rural health clinics, community mental health centers, long-term care facilities, Native Hawaiian health centers, or facilities operated by the Indian Health Service or an Indian tribe or tribal organization or Indian organization under a contract with the Indian Health Service under the Indian Self-Determination Act [25 U.S.C. 450f et seq.]; and

(C) provide any additional information required by the Secretary.

(e) "Rural" defined

For the purposes of this section, the term "rural" means geographic areas that are located outside of standard metropolitan statistical areas.

(f) Authorization of appropriations

For the purpose of carrying out this section, there is authorized to be appropriated $7,000,000 for each of the fiscal years 1993 through 1995.

(July 1, 1944, ch. 373, title VII, §778, as added Oct. 13, 1992, Pub. L. 102–408, title I, §102, 106 Stat. 2054 .)

References in Text

The Indian Self-Determination Act, referred to in subsec. (d)(3)(B), is title I of Pub. L. 93–638, Jan. 4, 1975, 88 Stat. 2206 , as amended, which is classified principally to part A (§450f et seq.) of subchapter II of chapter 14 of Title 25, Indians. For complete classification of this Act to the Code, see Short Title note set out under section 450 of Title 25 and Tables.

Prior Provisions

A prior section 294p, act July 1, 1944, ch. 373, title VII, §743, as added Sept. 24, 1963, Pub. L. 88–129, §2(b), 77 Stat. 172 ; amended Oct. 22, 1965, Pub. L. 89–290, §4(d), 79 Stat. 1057 ; Nov. 3, 1966, Pub. L. 89–751, §5(c)(2), (3), 80 Stat. 1233 ; Aug. 16, 1968, Pub. L. 90–490, title I, §121(c), 82 Stat. 778 ; July 9, 1971, Pub. L. 92–52, §1(b), 85 Stat. 144 ; Nov. 18, 1971, Pub. L. 92–157, title I, §105(e)(2), (f)(2), 85 Stat. 451 ; Oct. 12, 1976, Pub. L. 94–484, title IV, §§405, 406(e), 90 Stat. 2267 , 2268; Aug. 13, 1981, Pub. L. 97–35, title XXVII, §2736, 95 Stat. 920 ; Oct. 22, 1985, Pub. L. 99–129, title II, §209(i), 99 Stat. 536 ; Nov. 4, 1988, Pub. L. 100–607, title VI, §603(d), 102 Stat. 3125 , related to distribution of assets from loan funds, prior to the general revision of this subchapter by Pub. L. 102–408. See section 292x of this title.

Sections 294q to 294r were omitted in the general revision of this subchapter by Pub. L. 102–408.

Section 294q, act July 1, 1944, ch. 373, title VII, §744, formerly §745, as added Sept. 24, 1963, Pub. L. 88–129, §2(b), 77 Stat. 173 ; amended Nov. 18, 1971, Pub. L. 92–157, title I, §105(f)(2), 85 Stat. 451 ; renumbered §744, Oct. 12, 1976, Pub. L. 94–484, title IV, §406(a)(2), 90 Stat. 2268 , related to administrative provisions. See section 292u of this title.

Section 294q–1, act July 1, 1944, ch. 373, title VII, §745, as added Oct. 22, 1985, Pub. L. 99–129, title II, §209(h)(2), 99 Stat. 535 , related to student loan information to be furnished to students. See section 292v of this title.

Section 294q–2, act July 1, 1944, ch. 373, title VII, §746, as added Oct. 22, 1985, Pub. L. 99–129, title II, §209(h)(2), 99 Stat. 536 , related to procedures for appeal of terminations of agreements with schools. See section 292w of this title.

Section 294q–3, act July 1, 1944, ch. 373, title VII, §747, formerly §745, as added and renumbered §747, Oct. 22, 1985, Pub. L. 99–129, title II, §209(a)(4), (h)(1), 99 Stat. 532 , 535, defined "school of pharmacy".

Section 294r, act July 1, 1944, ch. 373, title VII, §751, as added Nov. 4, 1988, Pub. L. 100–607, title VI, §604, 102 Stat. 3126 , related to establishment of a loan repayment program for allied health personnel.

A prior section 294r, act July 1, 1944, ch. 373, title VII, §748, as added Oct. 12, 1976, Pub. L. 94–484, title IV, §408(a), 90 Stat. 2279 ; amended Aug. 1, 1977, Pub. L. 95–83, title III, §307(f), 91 Stat. 391 ; Dec. 19, 1977, Pub. L. 95–215, §3, 91 Stat. 1504 ; Sept. 29, 1979, Pub. L. 96–76, title II, §206(a), 93 Stat. 583 , which related to traineeships for students in schools of public health, was renumbered section 792 of act July 1, 1944, by Pub. L. 97–35 and transferred to section 295h–1b of this title.

Section 294s, act July 1, 1944, ch. 373, title VII, §749, as added Oct. 12, 1976, Pub. L. 94–484, title IV, §408(a), 90 Stat. 2280 ; amended Aug. 1, 1977, Pub. L. 95–83, title III, §307(f), 91 Stat. 391 , Pub. L. 96–88, title III, §301(a)(1), title V, §507, 93 Stat. 677 , 692, which related to traineeships for students in other graduate programs, was renumbered section 791A of act July 1, 1944, by Pub. L. 97–35 and transferred to section 295h–1a of this title.

Section 294t, act July 1, 1944, ch. 373, title VII, §751, as added Oct. 12, 1976, Pub. L. 94–484, title IV, §408(b)(1), 90 Stat. 2281 ; amended Dec. 19, 1977, Pub. L. 95–215, §5, 91 Stat. 1506 ; Nov. 9, 1978, Pub. L. 95–623, §12(c), 92 Stat. 3457 ; Nov. 10, 1978, Pub. L. 95–626, title I, §113(b), 92 Stat. 3563 ; July 10, 1979, Pub. L. 96–32, §7(i), 93 Stat. 84 , which related to National Health Service Corps Scholarships Program, was renumbered section 338A of act July 1, 1944, by Pub. L. 97–35 and transferred to section 254l of this title.

Section 294u, act July 1, 1944, ch. 373, title VII, §752, as added Oct. 12, 1976, Pub. L. 94–484, title IV, §408(b)(1), 90 Stat. 2284 ; amended Nov. 10, 1978, Pub. L. 95–626, title I, §113(b), 92 Stat. 3563 ; Sept. 29, 1979, Pub. L. 96–76, title II, §202(a), (b), 93 Stat. 582 , which related to obligated service under contract, was renumbered section 338B of act July 1, 1944, by Pub. L. 97–35 and transferred to section 254m of this title, and subsequently renumbered section 338C of act July 1, 1944, by Pub. L. 100–177.

Section 294v, act July 1, 1944, ch. 373, title VII, §753, as added Oct. 12, 1976, Pub. L. 94–484, title IV, §408(b)(1), 90 Stat. 2285 ; amended Dec. 17, 1980, Pub. L. 96–538, title IV, §403, 94 Stat. 3192 , which related to private practice, was renumbered section 338C of act July 1, 1944, by Pub. L. 97–35 and transferred to section 254n of this title, and subsequently renumbered section 338D of act July 1, 1944, by Pub. L. 100–177.

Section 294w, act July 1, 1944, ch. 373, title VII, §754, as added Oct. 12, 1976, Pub. L. 94–484, title IV, §408(b)(1), 90 Stat. 2286 ; amended Aug. 1, 1977, Pub. L. 95–83, title III, §307(g), 91 Stat. 391 , which related to breach of scholarship contract, was renumbered section 338D of act July 1, 1944, by Pub. L. 97–35 and transferred to section 254o of this title, and subsequently renumbered section 338E of act July 1, 1944, by Pub. L. 100–177.

Section 294x, act July 1, 1944, ch. 373, title VII, §755, as added Oct. 12, 1976, Pub. L. 94–484, title IV, §408(b)(1), 90 Stat. 2287 , which related to special grants for former Corps member to enter private practice, was renumbered section 338E of act July 1, 1944, by Pub. L. 97–35 and transferred to section 254p of this title, and subsequently renumbered section 338F of act July 1, 1944, by Pub. L. 100–177.

Section 294y, act July 1, 1944, ch. 373, title VII, §756, as added Oct. 12, 1976, Pub. L. 94–484, title IV, §408(b)(1), 90 Stat. 2288 , which related to authorization of appropriations, was renumbered section 338F of act July 1, 1944, by Pub. L. 97–35 and transferred to section 254q of this title, and subsequently renumbered section 338G of act July 1, 1944, prior to repeal by Pub. L. 100–177, title II, §§201(2), 203, Dec. 1, 1987, 101 Stat. 992 , 999.

Section 294y–1, act July 1, 1944, ch. 373, title VII, §757, as added Aug. 1, 1977, Pub. L. 95–83, title III, §307(n)(1), 91 Stat. 392 ; amended Dec. 17, 1980, Pub. L. 96–537, §3(d), 94 Stat. 3174 , which related to Indian Health Scholarships, was renumbered section 338G of act July 1, 1944, by Pub. L. 97–35 and transferred to section 254r of this title, and subsequently renumbered section 338I of act July 1, 1944, by Pub. L. 100–177, prior to repeal by Pub. L. 100–713, title I, §104(b)(1), Nov. 23, 1988, 102 Stat. 4787 .

Sections 294z to 294cc were omitted in the general revision of this subchapter by Pub. L. 102–408.

Section 294z, act July 1, 1944, ch. 373, title VII, §758, as added Oct. 12, 1976, Pub. L. 94–484, title IV, §408(c), 90 Stat. 2289 ; amended Aug. 1, 1977, Pub. L. 95–83, title III, §307(h), 91 Stat. 391 ; Aug. 13, 1981, Pub. L. 97–35, title XXVII, §2737, 95 Stat. 920 ; Oct. 22, 1985, Pub. L. 99–129, title I, §102, title II, §210(a), 99 Stat. 523 , 537; Nov. 4, 1988, Pub. L. 100–607, title VI, §§605, 628(9), 629(b)(2), 102 Stat. 3126 , 3146, related to scholarships for students of exceptional financial need. See section 293 of this title.

Section 294aa, act July 1, 1944, ch. 373, title VII, §759, as added Oct. 12, 1976, Pub. L. 94–484, title IV, §408(c), 90 Stat. 2289 ; amended Nov. 16, 1990, Pub. L. 101–597, title IV, §401(b)[(a)], 104 Stat. 3035 , established a Lister Hill scholarship program of grants for family practice of medicine.

Section 294bb, act July 1, 1944, ch. 373, title VII, §760, as added Nov. 6, 1990, Pub. L. 101–527, §6, 104 Stat. 2323 , related to grants and other assistance for students from disadvantaged backgrounds. See section 293 et seq. of this title.

Section 294cc, act July 1, 1944, ch. 373, title VII, §761, as added Nov. 6, 1990, Pub. L. 101–527, §6, 104 Stat. 2325 , related to a loan repayment program regarding service on faculties of certain health professions schools. See section 293b of this title.

A prior section 761 of act July 1, 1944, ch. 373, title VII, as added Dec. 25, 1970, Pub. L. 91–696, §101, 84 Stat. 2080–1 ; amended Oct. 17, 1979, Pub. L. 96–88, title III, §301(a)(1), title V, §507, 93 Stat. 677 , 692, which provided the Congressional declaration of purpose for former part D of this subchapter, was classified to section 295 of this title, prior to repeal by Pub. L. 99–129, title II, §220(c), Oct. 22, 1985, 99 Stat. 544 .

Another prior section 761 of act July 1, 1944, ch. 373, title VII, as added Oct. 31, 1963, Pub. L. 88–164, title I, §101, 77 Stat. 282 , which related to authorization of appropriations respecting grants for construction of mental retardation facilities, was classified to section 295 of this title, prior to the general amendment of former part D of this subchapter by section 101 of Pub. L. 91–696.