S. 4238Senate118th Congress (2023-2025)In Committee

Pediatric Access to Critical Health Care Act

Introduced May 2, 2024

AI-Generated Summary

Updated January 20, 2026 at 4:23 PM UTC

The Pediatric Access to Critical Health Care Act would create a new grant program to improve and expand the nation’s specialized pediatric health‑care infrastructure. The Health Resources and Services Administration would award funds to eligible entities—such as children’s hospitals, facilities that qualify for existing pediatric hospital funding, and nonprofit clinics that mainly treat patients under 21. The goal is to increase capacity, modernize facilities, and strengthen the pediatric health‑care workforce, especially for low‑income and underserved children.

Key Provisions

  • Adds a new Subpart XIII to the Public Health Service Act establishing Pediatric Health Care Capacity Grants.
  • Defines eligible grant recipients as children’s hospitals, facilities eligible for section 340E funding, or nonprofit medical facilities that primarily serve patients under age 21.
  • Allows grant funds to be used for expanding or renovating pediatric critical‑care spaces, emergency preparedness, workforce training and retention, digital health upgrades, and adding patient‑care capacity.
  • Requires applicants to submit detailed project descriptions and cost estimates; grants must be matched with non‑federal funds equal to at least 50% of the grant amount.
  • Directs the Secretary to consider geographic equity and to give priority to entities serving a high percentage of Medicaid‑eligible children or diverse, traditionally underserved populations.
  • Mandates reporting by grantees after project completion and periodic reports to Congress on program outcomes and recommendations.
  • Authorizes up to $600 million in appropriations each fiscal year from 2024 through 2033 to fund the grant program.

Legislative Activity

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1 earlier action
SenateIntro Referral Latest Action

Read twice and referred to the Committee on Health, Education, Labor, and Pensions. (Sponsor introductory remarks on measure: CR S3318-3319)

May 2, 2024

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SenateIntro Referral

Introduced in Senate

May 2, 2024

SenateIntro Referral

Read twice and referred to the Committee on Health, Education, Labor, and Pensions. (Sponsor introductory remarks on measure: CR S3318-3319)

May 2, 2024

Floor Debate

3 members

What members said about S. 4238 on the floor

2 Republicans1 Democrat
Susan M. Collins
Sen. Susan M. CollinsR-ME · May 2, 2024

Madam President, I rise to introduce a bill with my colleague, Senator King, that will help the hard-working loggers across this country affected by severe storms and natural disasters. In Maine…

Alex Padilla
Sen. Alex PadillaD-CA · May 2, 2024

Madam President, I rise to introduce the Pediatric Access to Critical Health Care, PATCH Act. This legislation would boost our continued efforts to support our Nation's healthcare safety net for kids…

Alex Padilla
Sen. Alex PadillaD-CA · May 2, 2024

Madam President, I rise to introduce the Pediatric Access to Critical Health Care, PATCH Act. This legislation would boost our continued efforts to support our Nation's healthcare safety net for kids…

John Thune
Sen. John ThuneR-SD · May 2, 2024

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

Bill Text

Latest available legislative text

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Introduced in SenateIssued May 2, 2024

II

118th CONGRESS

2d Session

S. 4238

IN THE SENATE OF THE UNITED STATES

May 2, 2024

Mr. Padilla (for himself and Mr. Casey) introduced the following bill; which was read twice and referred to the Committee on Health, Education, Labor, and Pensions

A BILL

To amend title III of the Public Health Service Act to direct the Secretary of Health and Human Services, acting through the Administrator of the Health Resources and Services Administration, to award grants to eligible entities to carry out construction or modernization projects designed to strengthen and increase capacity within the specialized pediatric health care infrastructure, and for other purposes.

1.

Short title

This Act may be cited as the Pediatric Access to Critical Health Care Act.

2.

Pediatric health care capacity grants

Part D of title III of the Public Health Service Act (42 U.S.C. 254b et seq.) is amended by adding at the end the following:

XIII

Pediatric Health Care Capacity

340J.

Pediatric health care capacity grants

(a)

In general

The Secretary, acting through the Administrator of the Health Resources and Services Administration, shall award grants to eligible entities to carry out construction or modernization projects designed to strengthen and increase capacity within pediatric health care infrastructure.

(b)

Eligible entities

To be eligible to receive a grant under subsection (a), an entity shall be a—

(1)

children’s hospital;

(2)

a facility that is eligible to receive funds under section 340E; or

(3)

a nonprofit medical facility that predominantly treats individuals under the age of 21.

(c)

Use of funds

An eligible entity selected to receive a grant under subsection (a) may use funds received through the grant for—

(1)

expanding pediatric critical health care infrastructure, including the expansion, renovation, remodeling, and alteration of existing buildings (but not including the cost of acquisition of land or off-site improvements);

(2)

maintaining and enhancing pediatric emergency preparedness;

(3)

increasing the training, development, and retention of the pediatric health care workforce;

(4)

upgrading digital health infrastructure, including upgrades related to preventing and addressing cybersecurity threats;

(5)

building additional patient care capacity to expand access to care; and

(6)

other activities related to strengthening and increasing capacity within the pediatric health care infrastructure, as determined by the Secretary.

(d)

Application

An eligible entity seeking a grant under subsection (a) shall submit to the Secretary an application, at such time, in such manner, and containing such information as the Secretary may require, including—

(1)

a description of the activities described in subsection (c) that the entity plans to carry out; and

(2)

such documentation as may be necessary to demonstrate, to the Secretary’s satisfaction, the estimated cost of the project for which the grant is made.

(e)

Considerations

In awarding grants under this section, the Secretary, to the extent practicable, may ensure equitable distribution of awards among the geographical regions of the United States.

(f)

Priority

In selecting eligible entities to receive a grant under subsection (a), the Secretary shall give priority to eligible entities—

(1)

with respect to which over 60 percent of the patients served are receiving medical assistance under a State plan (or a waiver of such plan) under title XIX of the Social Security Act or child health assistance under a State child health plan (or a waiver of such plan) under title XXI of such Act; or

(2)

that primarily serve children from diverse and traditionally underserved populations, including racial and ethnic minorities.

(g)

Supplement, not supplant

Funds provided under this section shall be used to supplement, and not supplant, Federal and non-Federal funds available for carrying out the activities described in this section.

(h)

Matching funds

An eligible entity receiving a grant under this section shall provide funds from sources other than funds provided through such grant in an amount that is at least equal to 50 percent of the amount of such grant.

(i)

Reporting

(1)

Reports from grantees

Following project completion, each entity awarded a grant under this section shall submit a report to the Secretary on the activities conducted under such grant, and other information as the Secretary may require.

(2)

Reports to Congress

Not later than September 30, 2026, and every 5 years thereafter, the Secretary shall submit to the Committee on Energy and Commerce of the House of Representatives and the Committee on Health, Education, Labor, and Pensions of the Senate a report on the activities conducted through the grant program under this section, and the outcomes of such projects. Such reports shall include—

(A)

the number of projects supported by the grants under subsection (a);

(B)

an overview of the impact, if any, of such projects on pediatric health care infrastructure, including any impact on access to health care for pediatric populations;

(C)

recommendations for improving the grant program under this section; and

(D)

any other considerations as the Secretary determines appropriate.

(j)

Authorization of appropriations

There are authorized to be appropriated to carry out this section $600,000,000 for each of fiscal years 2024 through 2033.

.