S. 648Senate108th Congress (2003-2005)Passed Senate

Pharmacy Education Aid Act of 2003

Sponsored by Jack ReedSen. Jack Reed (D-RI)
Introduced March 18, 2003

Legislative Activity

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10 earlier actions
HouseCommittee Latest Action

Referred to the Subcommittee on Health.

December 17, 2003

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SenateIntro Referral

Introduced in Senate

March 18, 2003

SenateIntro Referral

Sponsor introductory remarks on measure. (CR S3896-3897)

March 18, 2003

SenateIntro Referral

Read twice and referred to the Committee on Health, Education, Labor, and Pensions.

March 18, 2003

SenateCommittee

Committee on Health, Education, Labor, and Pensions. Ordered to be reported with an amendment in the nature of a substitute favorably.

June 11, 2003

SenateCommittee

Committee on Health, Education, Labor, and Pensions. Reported by Senator Gregg with an amendment in the nature of a substitute. With written report No. 108-189.

November 6, 2003

SenateCalendars

Placed on Senate Legislative Calendar under General Orders. Calendar No. 370.

November 6, 2003

SenateFloor

Passed Senate with an amendment by Unanimous Consent. (consideration: CR S16054-16057; text of measure as reported to Senate: CR S16054-16057)

November 25, 2003

HouseFloor

Received in the House.

December 8, 2003 • 9:30 AM

SenateFloor

Message on Senate action sent to the House.

December 8, 2003

HouseIntro Referral

Referred to the House Committee on Energy and Commerce.

December 8, 2003

HouseCommittee

Referred to the Subcommittee on Health.

December 17, 2003

Floor Debate

20 members

What members said about S. 648 on the floor

11 Republicans9 Democrats
Orrin G. Hatch
Sen. Orrin G. HatchR-UT · Mar 18, 2003

Mr. President, we have all been devastated by the repeated news flashes of violent crimes being committed against children across the Nation. In June 2002, Elizabeth Smart, a 14 year old from my home…

Mike DeWine
Sen. Mike DeWineR-OH · Mar 18, 2003

Mr. President, I rise today with my colleague from Utah, Senator Hatch, to reintroduce the ``Comprehensive Child Protection Act of 2003''--a bill to help protect our Nation's children from child…

Patrick J. Leahy
Sen. Patrick J. LeahyD-VT · Mar 18, 2003

Mr. President, I rise to introduce, with my good friends Senator Hatch, Senator Mikulski and Senator Durbin, the Federal Prosecutors' Retirement Benefit Equity Act of 2003. This bill would correct an…

Russell D. Feingold
Sen. Russell D. FeingoldD-WI · Mar 18, 2003

Mr. President, I am very pleased to again join with the Senator from Illinois, Mr. Durbin, as an original co-sponsor of legislation to designate more than one million acres of Bureau of Land…

Edward M. Kennedy
Sen. Edward M. KennedyD-MA · Mar 18, 2003

Mr. President, today I am introducing a bill to close an unfortunate loophole in health insurance coverage for families of Reserve and Guard members who are called up for active duty. As we face the…

Show 8 more
Olympia J. Snowe
Sen. Olympia J. SnoweR-ME · Mar 18, 2003

Mr. President, I rise today to introduce the ``Medicare Safety Net Act of 2003.'' I am particularly pleased to introduce this bill with my good friend and colleague, Senator Bingaman. Last year we…

Jon S. Corzine
Sen. Jon S. CorzineD-NJ · Mar 18, 2003

Mr. President, I rise today to introduce a very important piece of legislation, the Medicare Mental Health Modernization Act of 2003. I introduce this bill today, along with Representative Pete Stark…

Carl Levin
Sen. Carl LevinD-MI · Mar 18, 2003

Mr. President, I am introducing today along with Senators Collins, Jeffords and others the Brownfields Redevelopment Assistance Act of 2003. As a resident of Michigan I am familiar with the obstacles…

Chuck Grassley
Sen. Chuck GrassleyR-IA · Mar 18, 2003

Mr. President, today, I again rise in support of the Comprehensive Child Protection Act. I am proud to be standing with Senator Hatch as a co-sponsor of a bill that represents one of the most…

Susan M. Collins
Sen. Susan M. CollinsR-ME · Mar 18, 2003

Mr. President, the textile mills and tanneries of Maine helped fuel our country's economic growth. But as these industries closed, brownfields replaced once vibrant factories. In many communities…

Richard J. Durbin
Sen. Richard J. DurbinD-IL · Mar 18, 2003

Mr. President, I rise today to introduce America's Red Rock Wilderness Act. This legislation is in keeping with our Nation's bipartisan commitment to preserve our natural heritage. The preservation…

Jack Reed
Sen. Jack ReedD-RI · Mar 18, 2003

Mr. President, I am pleased to reintroduce the Pharmacy Education Aid Act along with my colleagues, Senator Enzi, Senator Johnson and others. Last year, the Senate recognized and acted to address the…

Jack Reed
Sen. Jack ReedD-RI · Mar 18, 2003

Mr. President, I am pleased to reintroduce the Pharmacy Education Aid Act along with my colleagues, Senator Enzi, Senator Johnson and others. Last year, the Senate recognized and acted to address the…

Show 9 more
Pete V. Domenici
Sen. Pete V. DomeniciR-NM · Mar 18, 2003

Mr. President, I rise to reintroduce a bill that authorizes the Secretary of the Interior to help construct and occupy part of the Hibben Center for Archaeological Research at the University of New…

Lincoln Chafee
Sen. Lincoln ChafeeR-RI · Mar 18, 2003

Mr. President, I am pleased to be joined today by Senators Bob Graham, DeWine, Feinstein, Warner, Cantwell, Smith, Clinton, Bunning, Rockefeller, Murray, Kennedy, Landrieu, Kerry, and Hutchison in…

Barbara Boxer
Sen. Barbara BoxerD-CA · Mar 18, 2003

Mr. President, today, I am introducing the Health Insurance Tax Relief Act to help our Nation's working families deal with the recent dramatic increases in health care costs. The legislation would…

Michael B. Enzi
Sen. Michael B. EnziR-WY · Mar 18, 2003

Mr. President, I rise to speak about a bill to address a significant problem in our Nation's healthcare delivery system--the growing shortage of pharmacists. I am joined by my distinguished colleague…

Michael B. Enzi
Sen. Michael B. EnziR-WY · Mar 18, 2003

Mr. President, I rise to speak about a bill to address a significant problem in our Nation's healthcare delivery system--the growing shortage of pharmacists. I am joined by my distinguished colleague…

Tom Harkin
Sen. Tom HarkinD-IA · Mar 18, 2003

Mr. President, I am proud to join my colleagues as a cosponsor of the Redrock Wilderness Act. It designates 9.1 million acres of Federal public lands in Utah, managed by the Bureau of Land…

Craig Thomas
Sen. Craig ThomasR-WY · Jun 11, 2003

Mr. President, I ask unanimous consent that the Committee on Health, Education, Labor, and Pensions be authorized to meet in executive session during the session of the Senate on Wednesday, June 11,…

Mitch McConnell
Sen. Mitch McConnellR-KY · Nov 25, 2003

I ask unanimous consent that the Senate proceed to the immediate consideration of Calendar No. 370, S. 648. I ask unanimous consent the committee substitute amendment be agreed to; the bill, as…

Wayne Allard
Sen. Wayne AllardR-CO · Mar 18, 2003

Mr. President, I ask unanimous consent that the text of the bill be printed in the Record.

Bill Text

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Referred in HouseIssued December 8, 2003
        [Congressional Bills 108th Congress]
[From the U.S. Government Publishing Office]
[S. 648 Referred in House (RFH)]

1st Session
S. 648

_______________________________________________________________________

IN THE HOUSE OF REPRESENTATIVES

December 8, 2003

Referred to the Committee on Energy and Commerce

_______________________________________________________________________

AN ACT

To amend the Public Health Service Act with respect to health
professions programs regarding the practice of pharmacy.

Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

This Act may be cited as the ``Pharmacy Education Aid Act of
2003''.

SEC. 2. FINDINGS.

Congress makes the following findings:
(1) Pharmacists are an important link in our Nation's
health care system. A critical shortage of pharmacists is
threatening the ability of pharmacies to continue to provide
important prescription related services.
(2) In the landmark report entitled ``To Err is Human:
Building a Safer Health System'', the Institute of Medicine
reported that medication errors can be partially attributed to
factors that are indicative of a shortage of pharmacists (such
as too many customers, numerous distractions, and staff
shortages).
(3) Congress acknowledged in the Healthcare Research and
Quality Act of 1999 (Public Law 106-129) a growing demand for
pharmacists by requiring the Secretary of Health and Human
Services to conduct a study to determine whether there is a
shortage of pharmacists in the United States and, if so, to
what extent.
(4) As a result of Congress' concern about how a shortage
of pharmacists would impact the public health, the Secretary of
Health and Human Services published a report entitled ``The
Pharmacist Workforce: A Study in Supply and Demand for
Pharmacists'' in December of 2000.
(5) ``The Pharmacist Workforce: A Study in Supply and
Demand for Pharmacists'' found that ``While the overall supply
of pharmacists has increased in the past decade, there has been
an unprecedented demand for pharmacists and for pharmaceutical
care services, which has not been met by the currently
available supply'' and that the ``evidence clearly indicates
the emergence of a shortage of pharmacists over the past two
years''.
(6) The same study also found that ``The factors causing
the current shortage are of a nature not likely to abate in the
near future without fundamental changes in pharmacy practice
and education.'' The study projects that the number of
prescriptions filled by community pharmacists will increase by
20 percent by 2004. In contrast, the number of community
pharmacists is expected to increase by only 6 percent by 2005.
(7) Regarding access to pharmacy services in rural areas,
the study found that ``Remoteness, isolation from other
professionals, lower economic returns, reduced opportunities
for advancement, and other rural practice characteristics
remain obstacles'' to attracting pharmacists.
(8) The demand for pharmacists will increase as
prescription drug use continues to grow.

SEC. 3. HEALTH PROFESSIONS PROGRAMS RELATED TO THE PRACTICE OF
PHARMACY.

Part E of title VII of the Public Health Service Act (42 U.S.C.
294n et seq.) is amended by adding at the end the following:

``Subpart 3--Pharmacy Workforce Development

``SEC. 781. LOAN REPAYMENT PROGRAM FOR PHARMACISTS SERVING IN CRITICAL
SHORTAGE FACILITIES.

``(a) In General.--In the case of any individual--
``(1) who has received a baccalaureate degree in pharmacy
or a Doctor of Pharmacy degree from an accredited program;
``(2) who obtained an educational loan for pharmacy
education costs; and
``(3) who is licensed without restrictions in the State in
which the designated health care facility is located;
the Secretary may enter into an agreement with such individual who
agrees to serve as a full-time pharmacist for a period of not less than
2 years at a designated health care facility, to make payments in
accordance with subsection (b), for and on behalf of that individual,
on the principal of and interest on any loan of that individual
described in paragraph (2) which is outstanding on the date the
individual begins such service.
``(b) Manner of Payments.--
``(1) In general.--The payments described in subsection (a)
may consist of payment, in accordance with paragraph (2), on
behalf of the individual of the principal, interest, and
related expenses on government and commercial loans received by
the individual regarding the undergraduate or graduate
education of the individual (or both), which loans were made
for--
``(A) tuition expenses;
``(B) all other reasonable educational expenses,
including fees, books, and laboratory expenses,
incurred by the individual; or
``(C) reasonable living expenses as determined by
the Secretary.
``(2) Payments for years served.--
``(A) In general.--For each year of obligated
service that an individual contracts to serve under
subsection (a) the Secretary may pay up to $35,000 on
behalf of the individual for loans described in
paragraph (1). In making a determination of the amount
to pay for a year of such service by an individual, the
Secretary shall consider the extent to which each such
determination--
``(i) affects the ability of the Secretary
to maximize the number of agreements that may
be provided under this section from the amounts
appropriated for such agreements;
``(ii) provides an incentive to serve in
areas with the greatest shortages of
pharmacists; and
``(iii) provides an incentive with respect
to the pharmacist involved remaining in the
area and continuing to provide pharmacy
services after the completion of the period of
obligated service under agreement.
``(B) Repayment schedule.--Any arrangement made by
the Secretary for the making of loan repayments in
accordance with this subsection shall provide that any
repayments for a year of obligated service shall be
made not later than the end of the fiscal year in which
the individual completes such year of service.
``(3) Tax liability.--For the purpose of providing
reimbursements for tax liability resulting from payments under
paragraph (2) on behalf of an individual--
``(A) the Secretary shall, in addition to such
payments, make payments to the individual in an amount
equal to 39 percent of the total amount of loan
repayments made for the taxable year involved; and
``(B) may make such additional payments as the
Secretary determines to be appropriate with respect to
such purpose.
``(4) Payment schedule.--The Secretary may enter into an
agreement with the holder of any loan for which payments are
made under this section to establish a schedule for the making
of such payments.
``(c) Preferences.--In entering into agreements under subsection
(a), the Secretary shall give preference to qualified applicants with
the greatest financial need.
``(d) Reports.--
``(1) Annual report.--Not later than 18 months after the
date of enactment of the Pharmacy Education Aid Act, and
annually thereafter, the Secretary shall prepare and submit to
Congress a report describing the program carried out under this
section, including statements regarding--
``(A) the number of applicants and contract
recipients;
``(B) the amount of loan repayments made;
``(C) which educational institution the recipients
attended;
``(D) the number and practice locations of the loan
repayment recipients at health care facilities with a
critical shortage of pharmacists;
``(E) the default rate and actions required;
``(F) the amount of outstanding default funds of
the loan repayment program;
``(G) to the extent that it can be determined, the
reason for the default;
``(H) the demographics of the individuals
participating in the loan repayment program; and
``(I) an evaluation of the overall costs and
benefits of the program.
``(2) 5-year report.--Not later than 5 years after the date
of enactment of the Pharmacy Education Aid Act, the Secretary
shall prepare and submit to Congress a report on how the
program carried out under this section interacts with other
Federal loan repayment programs for pharmacists and determining
the relative effectiveness of such programs in increasing
pharmacists practicing in underserved areas.
``(e) Application of Certain Provisions.--
``(1) In general.--The provisions of section 338C, 338G,
and 338I shall apply to the program established under this
section in the same manner and to the same extent as such
provisions apply to the National Health Service Corps Loan
Repayment Program under subpart III of part D of title III,
including the applicability of provisions regarding
reimbursements for increased tax liability and bankruptcy.
``(2) Breach of agreement.--An individual who enters into
an agreement under subsection (a) shall be liable to the
Federal Government for the amount of the award under such
agreement (including amounts provided for expenses related to
such attendance), and for interest on such amount at the
maximum legal prevailing rate, if the individual fails to
provide health services in accordance with the program under
this section for the period of time applicable under the
program.
``(3) Waiver or suspension of liability.--In the case of an
individual or health facility making an agreement for purposes
of subsection (a), the Secretary shall provide for the waiver
or suspension of liability under paragraph (2) if compliance by
the individual or the health facility, as the case may be, with
the agreement involved is impossible, or would involve extreme
hardship to the individual or facility, and if enforcement of
the agreements with respect to the individual or facility would
be unconscionable.
``(4) Date certain for recovery.--Subject to paragraph (3),
any amount that the Federal Government is entitled to recover
under paragraph (2) shall be paid to the United States not
later than the expiration of the 3-year period beginning on the
date the United States becomes so entitled.
``(5) Availability.--Amounts recovered under paragraph (2)
with respect to a program under this section shall be available
for the purposes of such program, and shall remain available
for such purposes until expended.
``(f) Definition.--In this section, the term `health care facility'
means a facility with a critical shortage of pharmacists as determined
by the Secretary.
``(g) Authorization of Appropriations.--For the purpose of payments
under agreements entered into under subsection (a), there are
authorized to be appropriated such sums as may be necessary for each of
fiscal years 2004 through 2008.

``SEC. 782. PHARMACY FACULTY LOAN REPAYMENT PROGRAM.

``(a) Establishment of Program.--The Secretary shall establish a
program under which the Secretary will enter into contracts with
individuals described in subsection (b) and such individuals will agree
to serve as faculty members of schools of pharmacy in consideration of
the Federal Government agreeing to pay, for each year of such service,
not more than $35,000 of the principal and interest of the educational
loans of such individuals.
``(b) Eligible Individuals.--An individual is described in this
subsection if such individual--
``(1) has a baccalaureate degree in pharmacy or a Doctor of
Pharmacy degree from an accredited program; or
``(2) is enrolled as a full-time student--
``(A) in an accredited pharmacy program; and
``(B) in the final year of a course of a study or
program, offered by such institution and approved by
the Secretary, leading to a baccalaureate degree in
pharmacy or a Doctor of Pharmacy degree from such a
school.
``(c) Requirements Regarding Faculty Positions.--The Secretary may
not enter into a contract under subsection (a) unless--
``(1) the individual involved has entered into a contract
with a school of pharmacy to serve as a member of the faculty
of the school for not less than 2 years; and
``(2) the contract referred to in paragraph (1) provides
that--
``(A) the school will, for each year for which the
individual will serve as a member of the faculty under
contract with the school, make payments of the
principal and interest due on the educational loans of
the individual for such year in an amount equal to the
amount of such payments made by the Secretary for the
year;
``(B) the payments made by the school pursuant to
subparagraph (A) on behalf of the individual will be in
addition to the compensation that the individual would
otherwise receive for serving as a member of such
faculty; and
``(C) the school, in making a determination of the
amount of compensation to be provided by the school to
the individual for serving as a member of the faculty,
will make the determination without regard to the
amount of payments made (or to be made) to the
individual by the Federal Government under subsection
(a).
``(d) Applicability of Certain Provisions.--The provisions of
sections 338C, 338G, and 338I shall apply to the program established in
subsection (a) to the same extent and in the same manner as such
provisions apply to the National Health Service Corps Loan Repayment
Program established in subpart III of part D of title III, including
the applicability of provisions regarding reimbursements for increased
tax liability and regarding bankruptcy.
``(e) Authorization of Appropriations.--For the purpose of carrying
out this section, there are authorized to be appropriated such sums as
may be necessary for each of fiscal years 2004 through 2008.

``SEC. 783. DEFINITIONS.

``In this subpart:
``(1) School of pharmacy.--The term `school of pharmacy'
means a college or school of pharmacy (as defined in section
799B) that, in providing clinical experience for students,
requires that the students serve in a clinical rotation in
which pharmacist services (as defined in section 331(a)(3)(E))
are provided at or for--
``(A) a medical facility that serves a substantial
number of individuals who reside in or are members of a
medically underserved community (as so defined);
``(B) an entity described in any of subparagraphs
(A) through (L) of section 340B(a)(4) (relating to the
definition of covered entity);
``(C) a health care facility of the Department of
Veterans Affairs or of any of the Armed Forces of the
United States;
``(D) a health care facility of the Bureau of
Prisons;
``(E) a health care facility operated by, or with
funds received from, the Indian Health Service; or
``(F) a disproportionate share hospital under
section 1923 of the Social Security Act.
``(2) Pharmacist services.--The term `pharmacist services'
includes drug therapy management services furnished by a
pharmacist, individually or on behalf of a pharmacy provider,
and such services and supplies furnished incident to the
pharmacist's drug therapy management services, that the
pharmacist is legally authorized to perform (in the State in
which the individual performs such services) in accordance with
State law (or the State regulatory mechanism provided for by
State law).''.

Passed the Senate November 25, 2003.

Attest:

EMILY J. REYNOLDS,

Secretary.