PRIORITIES IN ASSIGNMENT OF CORPS PERSONNEL.

SEC. 104. PRIORITIES IN ASSIGNMENT OF CORPS PERSONNEL.Subpart II of part D of title III of the Public Health Service Act (42 U.S.C. 254d et seq.) is amended by inserting after section 333 the following new section: “SEC. 333A. PRIORITIES IN ASSIGNMENT OF CORPS PERSONNEL. “(a) In General.—In approving applications made under section 333 for the assignment of Corps members, the Secretary shall— “(1) give priority to any such application that— “(A) is made regarding the provision of primary health services to a health manpower shortage area with the greatest such shortage, as determined in accordance with subsection (b); and “(B) is made by an entity that— “(i) serves a health manpower shortage area described in subparagraph (A); “(ii) coordinates the delivery of primary health services with related health and social services; “(iii) has a documented record of sound fiscal management; and “(iv) will experience a negative impact on its capacity to provide primary health services if a Corps member is not assigned to the entity; “(2) with respect to the geographic area in which the health manpower shortage area is located, take into consideration the willingness of individuals in the geographic area, and of the 104 STAT. 3016 appropriate governmental agencies or health entities in the area, to assist and cooperate with the Corps in providing effective primary health services; and “(3) take into consideration comments of medical, osteopathic, dental, or other health professional societies whose members deliver services to the health manpower shortage area, or if no such societies exist, comments of physicians, dentists, or other health professionals delivering services to the area. “(b) Exclusive Factors for Determining Greatest Shortages.— In making a determination under subsection (a)(1)(A) of the health manpower shortage areas with the greatest such shortages, the Secretary may consider only the following factors: “(1) The ratio of available health manpower to the number of individuals in the area or population group involved, or served by the medical facility or other public facility involved. “(2) Indicators of need as follows: “(A) The rate of low birthweight births. “(B) The rate of infant mortality. “(C) The rate of poverty. “(D) Access to primary health services, taking into account the distance to such services. “(c) Establishment of Criteria for Determining Priorities.— “(1) In general.—The Secretary shall establish criteria specifying the manner in which the Secretary makes a determination under subsection (a)(1)(A) of the health manpower shortage areas with the greatest such shortages. Such criteria shall specify the manner in which the factors described in subsection (b) are implemented regarding such a determination. “(2) Publication of criteria.—The criteria required in paragraph (1) shall be published in the Federal Register not later than July 1, 1991. Any revisions made in the criteria by the Secretary shall be effective upon publication in the Federal Register. “(d) Notifications Regarding Priorities.— “(1) Preparation of list for applicable period.— For the purpose of carrying out paragraph (2), the Secretary shall prepare a list of health manpower shortage areas that are receiving priority under subsection (a)(1) in the assignment of Corps members for the period applicable under subsection (C). Such list— “(A) shall include a specification, for each such health manpower shortage area, of the entities for which the Secretary has provided an authorization to receive assignments of Corps members in the event that Corps members are available for the assignments; and “(B) shall, of the entities for which an authorization described in subparagraph (A) has been provided, specify— “(i) the entities provided such an authorization for the assignment of Corps members who are participating in the Scholarship Program; “(ii) the entities provided such an authorization for the assignment of Corps members who are participating in the Loan Repayment Program; and “(iii) the entities provided such an authorization for the assignment of Corps members who have become Corps members other than pursuant to contractual 104 STAT. 3017obligations under the Scholarship or Loan Repayment Programs. The Secretary may set forth such specifications by medical specialty. “(2) Notification of affected parties.— “(A) Not later than 30 days after the preparation of each list under paragraph (1), the Secretary shall notify entities specified for purposes of subparagraph (A) of such paragraph of; the fact that the entitles hate been, provided an authorization to receive assignments of Corps members in the event that Corps members are available for the assignments. “(B) In the case of individuals with respect to whom a period of obligated service under the Scholarship Program will begin during the period under subsection (f) for which a list under paragraph (1) is prepared, the Secretary shall, not later than 30 days after the preparation of each such list, provide to such individuals the names of each of the entities specified for purposes of paragraph (1)(B)(i) that is appropriate to the medical specialty of the individuals. “(3) Revisions in list.—If the Secretary makes a revision in a list under paragraph (1) during the period under subsection (f) to which the list is applicable, and the revision alters the status of an entity with respect to the list, the Secretary shall notify the entity of the effect on the entity of the revision. Such notification shall be provided not later than 30 days after the date on which the revision is made. “(e) Limitation on Number of Entities Offered as Assignment Choices in Scholarship Program.— “(1) Determination of available corps members.—The Secretary shall determine the number of participants in the Scholarship Program who are available for assignments under section 333 for the period applicable under subsection (f). “(2) Availability of 500 or fewer members.— If the number of participants for purposes of paragraph (1) is less than 500, the Secretary shall limit the number of entities specified under subsection (d)(1)(B)(i) to the lesser of— “(A) 500 such entities; and “(B) a number of such entities constituting 300 percent of the number of such participants available for assignment under section 333. “(3) Availability of more than 500 members.—If the number of participants for purposes of paragraph (1) is equal to or greater than 500, the Secretary shall determine the number of entities to be specified under subsection (d)(1)(B)(i), subject to ensuring that assignments of such participants are made to 500 entities that serve health manpower shortage areas that have chronic difficulty in recruiting and retaining health professionals to provide primary health services. “(4) Adjustment in base number.—The number 500, as used for purposes of paragraphs (2) and (3), may by regulation be adjusted by the Secretary to a greater or a lesser number. “(f) Applicable Period Regarding Priorities.— “(1) In general.—With respect to determinations under subsection (a)(1) of the applications that are to be given priority regarding the assignment of Corps members, the Secretary shall 104 STAT. 3018make such a determination not less than once each fiscal year. The first determination shall be made not later than July 1 of the year preceding the year in which the period of obligated service begins. If the Secretary revises the determination before July 1 of the following year, the revised determination shall be applicable with respect to assignments of Corps members made during the period beginning on the date of the issuance of the revised determination and ending on July 1 of such year. “(2) Date certain for preparation of notification list.—A list under subsection (d)(1) shall be prepared for each of the periods decribed in paragraph (1). Each such list shall be prepared not later than the date on which a determination of priorities under such paragraph is required to be made for the period involved.”.