S 4110 — EMPOWER for Health Act

293(i)), by striking ``$23,711,000 for each of fiscal years 2021 through 2025'' and inserting ``$28,422,000``$25,422,000 for each of fiscal years 20262027 through 2030'';2031'';

293d)-- (A) in subsection (a), by striking ``$51,470,000 for each of fiscal years 2021 through 2025'' and inserting ``$55,014,000 for each of fiscal years 20262027 through 2030'';2031'';

(B) in subsection (b), by striking ``appropriated, $1,190,000 for each of fiscal years 2021 through 2025'' and inserting ``appropriated $2,310,000 for each of fiscal years 20262027 through 2030'';2031'';

(C) in subsection (c), by striking ``$15,000,000``fiscal for each of fiscal years 2021 through 2025'' and inserting ``$16,000,000``fiscal for each of fiscal years 20262027 through 2030'';2031'';

and (D) in subsection (d), by striking ``September 30, 2025'' and inserting ``September 30, 2030'';2031'';

293k(c)(1)), by striking ``$48,924,000 for each of fiscal years 2021 through 2025'' and inserting ``$49,924,000 for each of fiscal years through 2030'';2031'';

293k-2(f)), by striking ``$28,531,000 for each of fiscal years 2021 through 2025'' and inserting ``$42,673,000``$43,673,000 for each of fiscal years 20262027 through 2030'';2031'';

294a(j)(1)), by striking ``$41,250,000 for each of fiscal years 2021 through 2025'' and inserting ``$47,000,000 for each of fiscal years through 2030'';2031'';

294c(d)), by striking ``$40,737,000 for each of fiscal years 2021 through 2025'' and inserting ``$48,245,000 for each of fiscal years 20262027 through 2030'';2031'';

294n(e)(1)(A)), by striking ``2021 through 2025'' and inserting ``2026``2027 through 2030'';2031'';

294o(i)), by striking ``September 30, 2023'' and inserting ``September 30, 2030'';2031'';

295e(a)), by striking ``$17,000,000 for each of fiscal years 2021 through 2025'' and inserting ``$18,000,000 for each of fiscal years 20262027 through 2030'';2031'';

295f(e)), by striking ``is``such authorized to be appropriated such sums as may be necessary for each of fiscal years 2021 through 2025.'' and inserting the``to following:carry out this section $10,000,000 for each of fiscal years 2027 through 2031, to remain available until expended.'';

``are authorized to be appropriated for each of fiscal years 2026 through 2030-- ``(1) to carry out subsection (c)(1)(A), $5,000,000;

and ``(2) to carry out subsection (c)(1)(B), $5,000,000.'';

295f-1(i)), by striking ``2023 through 2025'' and inserting ``2026``2027 through 2030''.2031''.

(2) in subsection (b)-- (A) in paragraph (1), by strikinginserting ``in``to anunderserved area with a shortage of the specified pediatric subspecialtypopulations, thator has a sufficient pediatric population to supportprovide such pediatriccare'' subspecialty,before as``in determined by the Secretary'' and inserting ``to underserved children or in an areaarea''; with a shortage of the specified pediatric subspecialty'';

and (ii) by striking ``an``serving an area or''or andpopulation insertingdescribed ``a'';in such paragraph'';

and (ii) in subparagraph (B),(B)-- (I) in the matter preceding clause (i), by inserting ``under this section'' after ``contracts'';

(II) in clause (i), by striking ``or professional counseling'' and inserting ``professional counseling, or such other pediatric mental or behavioral health discipline as the Secretary determines appropriate'';

and (III) in clause (ii), by striking ``or professional counseling'' and inserting ``professional counseling, or such other pediatric mental or behavioral health discipline as the Secretary determines appropriate'';

(4) by redesignating subsection (e) (as amended by section 2(10)) as subsection (f);(h);

``(e) Full-Time Service Obligations.-- ``(1) In general.--With respect to qualified health professionals described in subparagraphssubsection (A)(ii)(c)(1)(A)(i), andqualified (B)health ofprofessionals described in subsection (c)(1)(c)(1)(A)(ii) (including those who enterhave intocompleted contractstheir underresidency thisor section,fellowship theand Secretaryhave shalladditional establishtime requirementsremaining foron full-timetheir servicecontract), thatand arequalified consistenthealth withprofessionals described in subsection (c)(1)(B), the practiceSecretary, standards,in includingconsultation researchwith organizations representing qualified pediatric health professionals and teachingservice obligations,sites, ofshall theestablish applicablerequirements pediatricfor medicalfull-time subspecialty,service pediatricthat surgicalinclude, specialty,at ora childminimum, anda adolescentrequirement mentalthat andhalf behavioralof healththe carerequired fieldservice inhours whichper suchcontract qualifiedyear healthmust professionalbe practices.providing direct clinical care.

``(2)In Fellowshipsestablishing orsuch residencies.--Withrequirements, respect to qualified health professionals described in subsection (c)(1)(A)(i), the Secretary shall establishensure requirementsthat forsuch full-timerequirements servicetake thatinto areaccount consistent with the requirementsresearch ofand theteaching accreditingobligations bodyof forfellows thein applicableaccredited pediatric residency orand fellowship forprograms. full-time service.''.

``(2) Fellowships or residencies.--With respect to qualified health professionals described in subsection (c)(1)(A)(i), the Secretary shall establish requirements for full-time service that are consistent with the requirements of the accrediting body for the applicable residency or fellowship for full-time service.

``(f) Breach of Contract.-- ``(1) Liquidated damages formula.--The Secretary may establish a liquidated damages formula to be used in the event of a breach of a contract entered into under this section.

``(2) Limitation.--The failure by an individual to complete the full period of service obligated pursuant to a contract entered into under this section, taken alone, shall not constitute a breach of such contract, so long as the individual completed in good faith the years of service for which payments were made to the individual under this section.

``(g) Termination of Contract.--The Secretary may terminate a contract under this section in the same manner as the Secretary may terminate a contract entered into under section 338B.''.

Section 751751(c)(1)(G) of the Public Health Service Act (42 U.S.C.

294a)294a(c)(1)(G)) is amended--amended (1)by ininserting subsection``middle (c)(1)(G),school byand'' strikingbefore ``high school''school''. and inserting ``pre-collegiate'';

andSEC. (2) in subsection (h)(1)-- (A) in subparagraph (A), by striking ``12 years'' and inserting ``2 award cycles'';

and5. (B) in subparagraph (B), by striking ``6 years'' and inserting ``1 award cycle''.

<all>STATE AND REGIONAL CENTERS FOR HEALTH WORKFORCE ANALYSIS.

(a) Expansion of Covered Programs.--Section 761(c)(1)(A) of the Public Health Service Act (42 U.S.C.

294n(c)(1)(A)) is amended by striking ``under this title'' and inserting ``under this Act''.

(b) Analysis and Technical Assistance.--Section 761(c) of the Public Health Service Act (42 U.S.C.

294n(c)) is amended by adding at the end the following:

``(3) Minimum requirement.--At least one grant or contract awarded under this subsection may be awarded to an eligible entity that demonstrates-- ``(A) a mission to advance and support the nursing workforce;

``(B) experience and expertise in guiding State- level nursing workforce centers;

``(C) experience in working with nursing workforce data;

``(D) expertise in analytical methods and tools appropriate for nursing workforce research;

and ``(E) awareness of emerging topics, issues, and trends related to the nursing workforce.

``(4) Analysis and reporting.--Analysis and reporting carried out pursuant to a grant or contract under this subsection may include-- ``(A) collaborating with nursing workforce centers to produce or deliver educational materials and research with respect to the supply of nurses, the demand for nurses, and the capacity to educate and train the nursing workforce;

``(B) evaluating the programs and activities of the nursing workforce centers overall;

``(C) developing evidence-based or evidence- informed strategies and best practices to alleviate nursing workforce shortages across States and regions;

and ``(D) conducting rapid data analysis and short- term, issue-specific research.

``(5) Technical assistance.--Technical assistance provided pursuant to this subsection may include-- ``(A) providing technical assistance to nursing workforce centers on the collection, analysis, and reporting of standardized supply, demand, and education and training data to inform analysis conducted pursuant to this subsection;

``(B) collaborating with nursing workforce centers to identify and deliver evidence-based or evidence- informed strategies to alleviate nursing shortages and the maldistribution of nurses;

``(C) providing online and in-person training opportunities for nurses and other staff at nursing workforce centers;

and ``(D) developing and maintaining a website that-- ``(i) is accessible to grant and contract recipients under this section;

``(ii) supports resources for the provision of technical assistance under this section, such as-- ``(I) evidence-based or evidence- informed educational materials, tools, recent findings of interest, and links to relevant resources;

and ``(II) logistical and administrative information, such as online trainings, webinars, and publications;

and ``(iii) includes a publicly accessible repository of webinars, tools, and resources.''.

Calendar No.

529 119th CONGRESS 2d Session S.

4110 _______________________________________________________________________ A BILL To revise and extend health workforce programs under title VII of the Public Health Service Act.

_______________________________________________________________________ July 28, 2026 Reported with an amendment