Title 42, The Public Health and WelfareRelease 119-73not60

§254c–20 Expanding Capacity for Health Outcomes

Title 42 › Chapter 6A— PUBLIC HEALTH SERVICE › Subchapter II— GENERAL POWERS AND DUTIES › Part D— Primary Health Care › Subpart i— health centers › § 254c–20

Last updated Apr 5, 2026|Official source

Summary

The Secretary must give grants to groups that provide health care in rural, frontier, shortage, or medically underserved areas, or to medically underserved people and Native Americans. The grants are for testing, building, and growing distance learning programs that link specialists with many other clinicians by live video. The goal is to keep providers working in those areas and to improve access to care for things like chronic and infectious diseases, mental health, substance use, maternal and child health, pain and palliative care, and other specialty services. Grants can pay for creating training and instructional programs, teaching providers how to use the model and collect data, studying how the model affects patients and providers, buying equipment and software, and supporting providers who use the model. Grants may run for up to 5 years. The Secretary can require grantees to collect outcome data, can fund coordination or evaluation help, can work with other agencies to support high-speed internet, and must give technical help to grantees. The Secretary must also make a research plan with experts and, by December 27, 2024, send and post a report describing grant awards, evaluations, technical help, activities, and any important findings or best practices. Congress authorized $10,000,000 each year for fiscal years 2022 through 2026. Key defined terms (one line each): Eligible entity — a group that provides or supports health care in the listed areas or to listed populations; Health professional shortage area — as defined in law; Indian Tribe and Tribal organization — as defined in law; Medically underserved population — as defined in law; Native Americans — as defined in law and includes Tribes and Tribal organizations; Technology-enabled collaborative learning and capacity building model — live, case-based video education linking specialists with multiple clinicians; Urban Indian organization — as defined in law.

Full Legal Text

Title 42, §254c–20

The Public Health and Welfare, Source: USLM XML via OLRC

(a)In this section:
(1)The term “eligible entity” means an entity that provides, or supports the provision of, health care services in rural areas, frontier areas, health professional shortage areas, or medically underserved areas, or to medically underserved populations or Native Americans, including Indian Tribes, Tribal organizations, and urban Indian organizations, and which may include entities leading, or capable of leading, a technology-enabled collaborative learning and capacity building model or engaging in technology-enabled collaborative training of participants in such model.
(2)The term “health professional shortage area” means a health professional shortage area designated under section 254e of this title.
(3)The terms “Indian Tribe” and “Tribal organization” have the meanings given the terms “Indian tribe” and “tribal organization” in section 5304 of title 25.
(4)The term “medically underserved population” has the meaning given the term in section 254b(b)(3) of this title.
(5)The term “Native Americans” has the meaning given the term in section 293 of this title and includes Indian Tribes and Tribal organizations.
(6)The term “technology-enabled collaborative learning and capacity building model” means a distance health education model that connects health care professionals, and particularly specialists, with multiple other health care professionals through simultaneous interactive videoconferencing for the purpose of facilitating case-based learning, disseminating best practices, and evaluating outcomes.
(7)The term “urban Indian organization” has the meaning given the term in section 1603 of title 25.
(b)The Secretary shall, as appropriate, award grants to evaluate, develop, and, as appropriate, expand the use of technology-enabled collaborative learning and capacity building models, to improve retention of health care providers and increase access to health care services, such as those to address chronic diseases and conditions, infectious diseases, mental health, substance use disorders, prenatal and maternal health, pediatric care, pain management, palliative care, and other specialty care in rural areas, frontier areas, health professional shortage areas, or medically underserved areas and for medically underserved populations or Native Americans.
(c)(1)Grants awarded under subsection (b) shall be used for—
(A)the development and acquisition of instructional programming, and the training of health care providers and other professionals that provide or assist in the provision of services through models described in subsection (b), such as training on best practices for data collection and leading or participating in such technology-enabled activities consistent with technology-enabled collaborative learning and capacity-building models;
(B)information collection and evaluation activities to study the impact of such models on patient outcomes and health care providers, and to identify best practices for the expansion and use of such models; or
(C)other activities consistent with achieving the objectives of the grants awarded under this section, as determined by the Secretary.
(2)In addition to any of the uses under paragraph (1), grants awarded under subsection (b) may be used for—
(A)equipment to support the use and expansion of technology-enabled collaborative learning and capacity building models, including for hardware and software that enables distance learning, health care provider support, and the secure exchange of electronic health information; or
(B)support for health care providers and other professionals that provide or assist in the provision of services through such models.
(d)Grants awarded under subsection (b) shall be for a period of up to 5 years.
(e)The Secretary may require entities awarded a grant under this section to collect information on the effect of the use of technology-enabled collaborative learning and capacity building models, such as on health outcomes, access to health care services, quality of care, and provider retention in areas and populations described in subsection (b). The Secretary may award a grant or contract to assist in the coordination of such models, including to assess outcomes associated with the use of such models in grants awarded under subsection (b), including for the purpose described in subsection (c)(1)(B).
(f)An eligible entity that seeks to receive a grant under subsection (b) shall submit to the Secretary an application, at such time, in such manner, and containing such information as the Secretary may require. Such application shall include plans to assess the effect of technology-enabled collaborative learning and capacity building models on patient outcomes and health care providers.
(g)In administering grants under this section, the Secretary may coordinate with other agencies to ensure that funding opportunities are available to support access to reliable, high-speed internet for grantees.
(h)The Secretary shall provide (either directly through the Department of Health and Human Services or by contract) technical assistance to eligible entities, including recipients of grants under subsection (b), on the development, use, and evaluation of technology-enabled collaborative learning and capacity building models in order to expand access to health care services provided by such entities, including for medically underserved areas and to medically underserved populations or Native Americans.
(i)The Secretary, in consultation with stakeholders with appropriate expertise in such models, shall develop a strategic plan to research and evaluate the evidence for such models. The Secretary shall use such plan to inform the activities carried out under this section.
(j)Not later than 4 years after December 27, 2020, the Secretary shall prepare and submit to the Committee on Health, Education, Labor, and Pensions of the Senate and the Committee on Energy and Commerce of the House of Representatives, and post on the internet website of the Department of Health and Human Services, a report including, at minimum—
(1)a description of any new and continuing grants awarded to entities under subsection (b) and the specific purpose and amounts of such grants;
(2)an overview of—
(A)the evaluations conducted under subsections (b);
(B)technical assistance provided under subsection (h); and
(C)activities conducted by entities awarded grants under subsection (b); and
(3)a description of any significant findings or developments related to patient outcomes or health care providers and best practices for eligible entities expanding, using, or evaluating technology-enabled collaborative learning and capacity building models, including through the activities described in subsection (h).
(k)There are authorized to be appropriated to carry out this section $10,000,000 for each of fiscal years 2022 through 2026.

Reference

Citations & Metadata

Citation

42 U.S.C. § 254c–20

Title 42, The Public Health and Welfare

Last Updated

Apr 5, 2026

Release point: 119-73not60