Title 42, The Public Health and WelfareRelease 119-110

§294d Quentin N. Burdick Program for Rural Interdisciplinary Training

Title 42 › CHAPTER 6A — PUBLIC HEALTH SERVICE › SUBCHAPTER V — HEALTH PROFESSIONS EDUCATION › Part D — Interdisciplinary, Community-Based Linkages › § 294d

Last updated Sep 22, 2026|Official source

Summary

The Secretary can give grants or contracts to pay for interdisciplinary training projects that help rural health care. Grant money must be used for five main goals: train health workers for rural areas using new or proven methods, test and measure new team-based care models that save money, deliver health services to people who live in rural places, boost research on rural health problems, and help recruit and keep health workers from or willing to work in rural areas. Recipients can use the money for things like student stipends, post‑doctoral fellowships, teaching faculty about rural care problems, and buying or renting transport or telecom equipment when the rural need is shown. No more than 10 percent of a grant can pay administrative costs, and no more than 10 percent of the trainees funded can be trained as doctors of medicine or osteopathy. Grants must add to an institution’s prior funding for these activities, not replace the money the institution used the year before. Applications must be sent by at least two eligible partners working together to create long-term ties between academic programs and rural providers. Applicants must name a rural health care site for clinical work or training, such as hospitals, community or migrant health centers, rural clinics, behavioral health centers, long-term care facilities, Native Hawaiian centers, or Indian Health Service or tribal facilities. For this program, “rural” means areas located outside standard metropolitan statistical areas.

Full Legal Text

Title 42, §294d

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

(a)Grants
The Secretary may make grants or contracts under this section to help entities fund authorized activities under an application approved under subsection (c).
(b)Use of amounts
(1)In general
Amounts provided under subsection (a) shall be used by the recipients to fund interdisciplinary training projects designed to—
(A)use innovative or evidence-based 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 from rural areas and make rural practice a more attractive career choice for health care practitioners.
(2)Methods
A recipient of funds under subsection (a) 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) 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) 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) in the fiscal year preceding the year for which the grant is received.
(c)Applications
Applications submitted for assistance under this section shall—
(1)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; and
(2)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 behavioral and 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. 5321 et seq.].
(d)Definitions
For the purposes of this section, the term “rural” means geographic areas that are located outside of standard metropolitan statistical areas.

Legislative History

Notes & Related Subsidiaries

Editorial Notes

References in Text

The Indian Self-Determination Act, referred to in subsec. (c)(2), is title I of Pub. L. 93–638, Jan. 4, 1975, 88 Stat. 2206, which is classified principally to subchapter I (§ 5321 et seq.) of chapter 46 of Title 25, Indians. For complete classification of this Act to the Code, see

Short Title

note set out under section 5301 of Title 25 and Tables.

Prior Provisions

A prior section 294d, act
July 1, 1944, ch. 373, title VII, § 766, as added Pub. L. 102–408, title I, § 102, Oct. 13, 1992, 106 Stat. 2047, authorized grants and contracts for development of advanced training of allied health professionals, prior to the general amendment of this part by Pub. L. 105–392. Another prior section 294d, act
July 1, 1944, ch. 373, title VII, § 731, as added Oct. 12, 1976, Pub. L. 94–484, title IV, § 401(b)(3), 90 Stat. 2258; amended Aug. 1, 1977, Pub. L. 95–83, title III, § 307(c)(1), (2), 91 Stat. 389, 390; Dec. 19, 1977, Pub. L. 95–215, § 4(a)–(d), (e)(6), 91 Stat. 1505, 1506; Dec. 17, 1980, Pub. L. 96–538, title IV, § 402, 94 Stat. 3192; Aug. 13, 1981, Pub. L. 97–35, title XXVII, § 2728, 95 Stat. 918; Oct. 22, 1985, Pub. L. 99–129, title II, §§ 208(a), (b)(1), (2), (c)(1), (d), (i), 211(a)(2), 99 Stat. 529–532, 539; Nov. 4, 1988, Pub. L. 100–607, title VI, § 602(e), (f), 102 Stat. 3123; Apr. 6, 1991, Pub. L. 102–25, title III, § 374, 105 Stat. 95;
July 23, 1992, Pub. L. 102–325, title IV, § 427(b)(2), 106 Stat. 549, related to eligibility of borrowers and terms of insurance, prior to the general amendment of this subchapter by Pub. L. 102–408. See section 292d of this title. Another prior section 294d, act
July 1, 1944, ch. 373, title VII, § 744, as added Sept. 24, 1963, Pub. L. 88–129, § 2(b), 77 Stat. 173; amended Oct. 22, 1965, Pub. L. 89–290, § 4(e), 79 Stat. 1057; Nov. 3, 1966, Pub. L. 89–751, § 5(a), 80 Stat. 1230; Aug. 16, 1968, Pub. L. 90–490, title I, § 121(d), 82 Stat. 778;
July 9, 1971, Pub. L. 92–52, § 1(c), 85 Stat. 144; Nov. 18, 1971, Pub. L. 92–157, title I, § 105(e)(3), (f)(2), 85 Stat. 451, provided for loans to schools to capitalize health professions student loan funds, prior to repeal by Pub. L. 94–484, title IV, § 406(a)(1), Oct. 12, 1976, 90 Stat. 2268.

Amendments

2020—Subsec. (b)(1)(A). Pub. L. 116–136 substituted “innovative or evidence-based” for “new and innovative”.

Reference

Citations & Metadata

Citation

42 U.S.C. § 294d

Title 42, The Public Health and Welfare

Last Updated

Sep 22, 2026

Release point: 119-110