GERIATRIC PROGRAMS.

SEC. 615. GERIATRIC PROGRAMS. (a) Geriatric Education Centers and Geriatric Training.—Part F of title VII is amended by inserting after section 788B (42 U.S.C. 295g-8b) the following new section: “SEC. 789. GERIATRIC EDUCATION CENTERS AND GERIATRIC TRAINING. “(a) Geriatric Education Centers.— “(1) In general.—The Secretary may make grants to and enter into contracts with accredited health professions schools, including schools of allied health, referred to in section 701(4) or 701(10) and programs referred to in section 701(8) to assist in meeting the costs of such schools or programs of providing projects to— “(A) improve the training of health professionals in geriatrics; “(B) develop and disseminate curricula relating to the treatment of the health problems of elderly individuals; “(C) expand and strengthen instruction in methods of such treatment; “(D) support the training and retraining of faculty to provide such instruction; “(E) support continuing education of health professionals and allied health professionals who provide such treatment; and “(F) establish new affiliations with nursing homes, chronic and acute disease hospitals, ambulatory care centers, and senior centers in order to provide students with clinical training in geriatric medicine. “(2) Approval of applications.— “(A) Peer review.—Any application for a grant or con-tract under this subsection shall be subject to appropriate peer review by peer review groups composed principally of non-Federal experts. 102 STAT. 3137 “(B) Prerequisites.—The Secretary may not approve or disapprove an application for a grant or contract under this subsection unless the Secretary has received recommendations with respect to such application from the appropriate peer review group required under subparagraph (a) and has consulted with the National Advisory Council on Health Professions Education with respect to such application. “(b) Geriatric Training.— “(1) In general.—The Secretary may make grants to, and enter into contracts with, schools of medicine, schools of osteopathy, teaching hospitals, and graduate medical education programs, for the purpose of providing support (including residencies, traineeships, and fellowships) for geriatric training projects to train physicians and dentists who plan to teach geriatric medicine or geriatric dentistry. “(2) Requirements.—Each project for which a grant or contract is made under this subsection shall— “(A) be staffed by full-time teaching physicians who have experience or training in geriatric medicine; “(B) be staffed, or enter into an agreement with an institution staffed by full-time or part-time teaching dentists who have experience or training in geriatric dentistry; “(C) be based in a graduate medical education program in internal medicine or family medicine, or in a department of geriatrics in existence as of December 1, 1987; “(D) provide participants in the project with exposure to a population of elderly individuals; “(E) provide training in geriatrics and exposure to the physical and mental disabilities of elderly individuals through a variety of service rotations, such as geriatric consultation services, acute care services, dental services, geriatric psychiatry units, day and home care programs, rehabilitation services, extended care facilities, geriatric ambulatory care and comprehensive evaluation units, and community care programs for elderly mentally retarded individuals; and “(F) provide training in geriatrics through one or both of the training options described in subparagraphs (a) and (b) of paragraph (3). “(3) Training options.—The training options referred to in subparagraph (f) of paragraph (2) shall be as follows: “(A) A 1-year retraining program in geriatrics for— “(i) physicians who are faculty members in departments of internal medicine, family medicine, gynecology, geriatrics, and psychiatry at schools of medicine and osteopathy; and “(ii) dentists who are faculty members at schools of dentistry or at hospital departments of dentistry. “(B) A 1-year or 2-year internal medicine or family medicine fellowship program providing emphasis in geriatrics, which shall be designed to provide training in clinical geriatrics and geriatrics research for— “(i) physicians who have completed graduate medical education programs in internal medicine, family medicine, psychiatry, neurology, gynecology, or rehabilitation medicine; and 102 STAT. 3138 “(ii) dentists who have completed postdoctoral dental education programs. “(4) Definitions.— For purposes of this subsection: “(A) Graduate medical education program.—The term ‘graduate medical education program’ means a program sponsored by a school of medicine, a school of osteopathy, a hospital, or a public or private institution that— “(i) offers postgraduate medical training in the specialties and subspecialties of medicine; and “(ii) has been accredited by the Accreditation Council for Graduate Medical Education or the American Osteopathic Association through its Committee on Postdoctoral Training. “(B) Post-doctoral dental education program.—The term ‘post-doctoral dental education program* means a program sponsored by a school of dentistry, a hospital, or a public or private institution that— “(i) offers post-doctoral training in the specialties of dentistry, advanced education in general dentistry, or a dental general practice residency; and “(ii) has been accredited by the Commission on Dental Accreditation. “(c) Authorization of Appropriations.— “(1) Geriatric education centers.—For grants and contracts under subsection (a), there are authorized to be appropriated $7,000,000 for fiscal year 1989, $10,000,000 for fiscal year 1990, and $13,000,000 for fiscal year 1991. “(2) Geriatric training.—For grants and contracts under subsection (b), there are authorized to be appropriated $7,000,000 for fiscal year 1989, $10,000,000 for fiscal year 1990, and $13,000,000 for fiscal year 1991.”. (b) Conforming Amendments.—Section 783 (42 U.S.C. 295g–3) is repealed.