Health Professions Education and Distribution Act of 1980

(Measure passed Senate, amended, in lieu of S. 2375)

Health Professions Education and Distribution Act of 1980 - Reaffirms the Federal Government's partnership with the nation's health professions schools and students so that, with Federal assistance: (1) all Americans can be assured equal opportunities to enter a health career; (2) all Americans can be assured equal access to qualified health professions personnel; and (3) the health professions schools, as a national resource, can assist in accomplishing these objectives.

States that amendments made by this Act shall take effect October 1, 1981.

=Title I: Education of Health Personnel= - Redesignates title VII of the Public Health Service Act as "Education of Health Personnel Training."

Sets forth the general duties of the Secretary of Health and Human Services (formerly, the Secretary of Health, Education, and Welfare), under Title VII, including: (1) health personnel training; (2) health personnel geographic and specialty distribution; (3) providing equal career opportunities; (4) assuring delivery of health care; and (5) maximizing the cost effectiveness of health education, training, and services.

Defines "nonprofit" to mean an entity owned and operated by one or more corporations or associations of which no part of the net earnings accrue to any private shareholder or individual. Adds "school of chiropractic" to the list of defined schools. Defines "graduate program in health administration" and "graduate program in clinical psychology." Defines "school of medicine" as any public school in a State that offers an accelerated integrated program of undergraduate premedical education and medical education leading to advanced entry into an accredited four year medical school. Defines "accredited" to mean a school or program accredited by a group recognized and approved by the Secretary of Health and Human Services. Provides that a school or program that has not been in operation long enough to receive accreditation at the time of its grant application may be considered accredited for purposes of this title if the Secretary so approves.

Defines "allied health personnel" to mean persons trained at the associate, baccalaureate, master's, or doctoral level in a health care related science, and who are not graduates of schools of medicine, osteopathy, dentistry, veterinary medicine, optometry, podiatry, chiropractic, public health, nursing, or a graduate program in health administration or clinical psychology. Defines the term "school of allied health."

Renames the National Advisory Council on Health Professions Education the National Advisory Council on Health Personnel. Revises membership requirements of such Council, including increasing its size from 20 to 24 persons.

Revises provisions requiring the Secretary to compile health personnel data. Revises related reporting requirements, including: (1) a general status report every two years (presently annual reports); and (2) status reports every two years on students in health training, teachers and teaching facilities, and minorities. Sets forth guidelines regarding the confidentiality of individually identifiable personal data, including: (1) informing any individual asked to supply such data whether or not he or she is legally required to do so, and of any consequences of providing or not providing such information; (2) making such data available upon request to the individual concerned; (3) assuring that nonrelated use of such data is not made, unless consent has been given by the individual concerned; (4) informing an individual, upon request, of the use being made of such data, and the identity of the individuals and entities receiving such data. Prohibits any entity which maintains a record of personal data from complying with a request from the Secretary for such data without first getting the consent of the individual concerned.

Prohibits the Secretary from disclosing personal data (other than to the individual concerned) unless: (1) such individual requires the information for purposes of this Act; or (2) the information is requested by a compulsory legal process. Requires the Secretary to notify the individual concerned of any such disclosure demand.

Requires any entity receiving funds under titles VII or VIII of such Act to submit an annual report to the Secretary.

Authorizes appropriations for fiscal years 1982-1984.

Revises provisions regarding shared residency training positions to: (1) repeal a reporting requirement (no later than February 1, 1980); (2) require such positions in any approved physician residency program; and (3) change the required amount of participant training.

Sets forth provisions regarding grant applications and payments including authorizing the Secretary to provide related technical assistance. Prohibits the Secretary from entering into a contract with, or making a grant, loan guarantee, or interest subsidy payment under titles VII or VIII of such Act to, any entity that charges higher tuition or fees to certain students because they are the recipients of Federal educational assistance.

Replaces the existing grant authority for new construction of teaching facilities with one authorizing such grants for renovation, modernization, and conversion of existing facilities. Authorizes the Secretary to make grants to public and nonprofit private entities for the construction of ambulatory, primary care teaching facilities for the training of pharmacists, optometrists, podiatrists, veterinarians, dentists, or professional public health personnel (presently limited to physicians and dentists). Redefines "ambulatory primary care teaching facilities" and enlarges the scope of construction grants for such facilities. Removes the requirement that a certain percentage of appropriated funds be used for specified categories of such construction grants. Authorizes appropriations for fiscal years 1982-1984.

Requires that when such a facility which is affiliated with but not owned by an eligible school applies for a construction grant, loan guarantee, or interest subsidy, both the facility and the school must submit a joint application. Limits any such assistance to that part of the construction attributable to teaching or research needs. Revises application requirements for such grants. Repeals related provisions regarding: (1) matters to be considered by the Secretary and the National Advisory Council on Health Personnel; (2) priority consideration for certain projects; (3) regional health professions programs; and (4) grant approval determinations. Requires the Secretary to give special consideration in fiscal years 1982-1983 to grant applications from two-year medical schools wishing to convert to a degree program.

Reduces the maximum amount of a construction grant from 80 to 70 percent of such costs. Removes the limitation on the amount of a grant which the Secretary may make for the construction of ambulatory, primary care teaching facilities. Subjects such grants to the limitations established for grants made for other projects.

Requires the Secretary to release all recipients of construction grants, loan guarantees, or interest subsidies from any contractual obligation to fulfill enrollment increases. States that such provisions shall be effective on the date of enactment of this Act.

Extends the program of construction loan guarantees and interest subsidies until September 30, 1984 (presently September 30, 1980). Authorizes increased interest subsidies (six or seven percent rather than present three percent) for projects initially guaranteed or subsidized after October 1, 1981. Prohibits guaranteeing such a loan or making such an interest subsidy payment if either would cause the total of the principal of such guaranteed loans and the principal of nonguaranteed loans for which such an interest subsidy agreement exists to exceed $10,000 in any fiscal year.

Extends the Federal program of insured new loans to students in health professions schools to fiscal year 1984 (presently to fiscal year 1980). Extends the deadline for granting such insurance on any such loans or installments from September 30, 1982, to September 30, 1987.

Revises the maximum annual and aggregate amounts of federally insured student loans. Extends eligibility for such loans to: (1) graduate students in health administration or clinical psychology; (2) chiropractic programs; (3) physician assistant or dental auxiliary training programs; and (4) advanced nursing students. Includes living expenses amoung the permissible uses of such loans. Removes: (1) the numerical limit on the number of student-borrowers; and (2) the prohibition on concurrent borrowing under this Act and the guaranteed student loan program under the Higher Education Act. Extends from three to four or five years specified periods exempted from principal and interest installment payments. Adds a graduated repayment option and a variable interest option as parts of the written loan agreement. Replaces the maximum 12 percent interest on the unpaid principal balance of the loan with a rate not to exceed the average of the bond equivalent rates of the 91-day Treasury bills plus two and a half percent. Prohibits the maximum annual interest rate on such loans from exceeding such equivalent rates plus two and a half percent. Exempts borrowers from making interest payments during specified deferment periods. States that nothing in this Act shall be construed to preclude the borrower and the lender from consolidating all the borrower's debts into a single instrument (but not on terms less favorable to such borrower). Authorizes the bankruptcy discharge of an unpaid loan under specified conditions. Eliminates the Secretary's authority to enter into a written contract with a borrower to discharge a portion of his/her loan for service in a health manpower shortage area. Redefines the term "eligible institution" and defines the term "collegiate school of nursing."

States with regard to student eligibility in a program of accelerated integrated (undergraduate-graduate) medical study that a reference to a "student" shall refer only to a student in the last four years of such program.

Eliminates the Secretary's authority to require a fiscal audit of an institution respecting funds received from a student-borrower. Authorizes the Secretary to collect other information from such borrower or lender. Eliminates the 50 percent ceiling on the number of students in schools of medicine, dentistry, or osteopathy who may receive such insured loans.

Authorizes a school to make loans for fiscal year 1982 to certain students in their last year of full-time study.

Limits Federal appropriations for such loan funds to fiscal year 1981 (presently through fiscal year 1983). Revises the period for the distribution of such loan fund assets from October - December 1983 to October - December 1982. Requires the Secretary to make up to $5,000,000 from such funds available annually for loan forgiveness and to deposit any remaining funds in the Service Contingent Loan Fund established by this Act.

Authorizes a loan program for students in schools of medicine, osteopathy, dentistry, veterinary medicine, optometry, podiatry, pharmacy, public health; (2) graduate programs in health administration; (3) programs for the training of physician assistants or expanded function dental auxiliaries; or (4) nursing or nursing anesthetist programs. Prohibits any student from receiving such a loan at the same time that he/she is receiving funds under the National Health Service Corps Scholarship Program, the Indian Health Service Corps Scholarship Program, or the Armed Forces Health Professions Scholarship Program. Sets forth the maximum annual ($12,500 and $20,000) and aggregate ($50,000 and $80,000) amounts of such loans. Sets forth loan agreement provisions including acceleration of repayment. Provides for deferral of principal repayment (but not interest) for specified service including: (1) national priority service; (2) National Health Corps or Indian Health Service; (3) military service; (4) Peace Corps Act service; and (5) certain medical internships or residencies. Prohibits inclusion of such deferral periods when computing the 15-year maximum repayment period. Authorizes interest rate reductions for specified types of medical study and service. Requires a student-borrower to enter into a contingent service agreement with the Secretary as a condition for such loan. Sets forth required provisions of such agreement.

Authorizes the Secretary to reduce Federal reimbursement or health services payments to a defaulting borrower who is practicing his/her profession. Permits bankruptcy discharge of a loan debt under specified circumstances. Requires cancellation of a service or payment obligation upon death or permanent disability. Directs the Secretary to provide a student-borrower with a waiver of service or payment obligation whenever: (1) the service obligation would involve extreme hardship; or (2) such borrower fails to maintain the acceptable academic level or leaves such program before its completion.

Requires the Secretary to prepare an ongoing list of borrowers and their education and employment plans. States that a borrower shall only be eligible for service in the year that the first loan repayments are due. Sets forth procedures to be followed by the Secretary in determining which borrowers shall be called to service.

Prohibits National Health Service Corps scholarships or certain State scholarships from being awarded in any year in which such loans are not offered.

Requires the Secretary to make an annual determination of a participating institution's aggregate financial needs, and to issue the necessary obligations to the Secretary of the Treasury. Limits the maximum amounts of such obligations for fiscal years 1982-1984. Requires at least 25 percent of such obligations to be available annually for nursing schools. Directs the Secretary of the Tresury to purchase any other related obligations, and permits the Secretary to sell such obligations. States that all such purchases, redemptions, and sales shall be treated as public debt transactions of the United States. Requires that borrowed sums be deposited in the Service Contingent Loan Fund and redemption of such notes made from such Fund.

Establishes a Service Contingent Loan Fund in the Treasury. Sets forth provisions regarding the liabilities and assets of such Fund. Authorizes necessary appropriations for fiscal years 1982-1984.

Directs the Secretary of Health and Human Sevices to establish a Loan Discharge Fund to be used in connection with the discharge of loans to borrowers who are serving in national priority positions.

Provides for the pro rata reduction of loan funds available to institutions. Prohibits more than five percent of annual loan funds received by an institution from being set aside for unexpected student needs. Requires that a request for allocated funds in one fiscal year be reduced by the amount of unexpended funds remaining from the previous year.

Includes clinical psychologists within the categories eligible for National Health Service Corps Scholarships. Revises Scholarship application priorities as follows: (1) first, to previous recipients; (2) second, to family medicine scholarship recipients; and (3) third, to other applicants. Directs the Secretary to give priority within each priority category to individuals who will provide medical or dental services through the Indian Health Service. Requires the Secretary to: (1) make application decisions by July 1 of each year; and (2) notify an applicant's school of his/her Scholarship application and approval. Eliminates the maximum number of years (four) for which an individual may receive a Scholarship. Makes the existing mandatory release of a National Health Service Corps scholarship recipient to fulfill his or her period of obligated service through an independent practice arrangement discretionary with the Secretary. Includes Public Health Service scholarship recipients (prior to October 1, 1977) within such option. Replaces the financial base requirement with one requiring a person serving under the independent practice option to agree to accept assignment under the medical program. Authorizes the Secretary to provide technical assistance to individuals serving under the independent practice option. Sets forth payment schedules (including malpractice insurance coverage) for such service. Eliminates the liquidated damages provision for breach of such Scholarship contract. Extends the National Health Service Corps Scholarship program through fiscal year 1984. Authorizes appropriations for fiscal years 1985-1987 (presently 1981-1983) for students who are in such program as of October 1, 1984 (presently 1980). Eliminates the Lister Hill (family practice) scholarship program.

Directs the Secretary to make grants to States for State scholarship programs to meet health care needs in health manpower shortage areas. Stipulates that such grants may be used only to fund the cost of such scholarships. Requires the Secretary to report to Congress annually regarding: (1) fund allocations to each State; (2) number of scholarships given by each State; and (3) distribution of scholarships among the health professions. Sets forth requirements and contractual agreements for such State programs. Prohibits: (1) States or schools from requiring a student to accept such agreements as a condition of entry into a school or program; (2) Scholarship recipients from participating in such State program; (3) States with three or more schools of medicine, dentistry, or osteopathy from allocating more than 50 percent of such scholarships to students at any one school; and (4) the Secretary from making a grant unless the State provides assurances that it will spend at least as much funds from non-Federal sources as it did in the previous fiscal year. Requires the Secretary to provide matching funds. Sets forth the formula for the allocation of grant funds. Prohibits any State from receiving more than ten percent of appropriations in any fiscal year. Authorizes appropriations for fiscal years 1982-1984.

Extends the program of financial need scholarships for first year students through fiscal year 1984. Establishes a maximum award of the lesser of tuition and fees plus $2,500, or $5,000. Bases the distribution of scholarship funds on: (1) the allotment of two scholarships to an eligible school; and (2) the proportionate enrollment of first-year students with exceptional financial need.

Adds a new program of up to 50 percent (or $30,000) loan repayment by the Secretary if the student serves for up to four years in a health manpower shortage area. Authorizes appropriations for fiscal years 1982-1984.

Directs the Secretary to make loan forgiveness payments for specified educational loans on behalf of students from families below a specified income level who, after October 1, 1981, completed their first year at a school of medicine, osteopathy, dentistry, veterinary medicine, optometry, or podiatry but failed to be advanced to their second year. Prohibits any such payments from exceeding the amount of nonreimbursable tuition and fees (including courses retaken). States that this repayment provision shall take effect as of October 1, 1982.

Eliminates the health professions capitation grant programs. Establishes a program of national priority incentive grants to schools of medicine, osteopathy, dentistry, veterinary medicine, optometry, pharmacy, podiatry, and public health for programs and projects in the national interest. Provides that for fiscal years 1982-1984: (1) schools of medicine, public health, osteopathy, and dentistry will receive $250 per student; (2) schools of veterinary medicine will receive $150 per student; (3) schools of optometry will receive $75 per student; (4) schools of podiatry will receive $100 per student; and (5) schools of pharmacy will receive $70 per student. Sets forth objectives which must be met by participating schools, including minority enrollment increases. Sets forth grant application provisions. Authorizes appropriations for fiscal years 1982-1984.

Authorizes the Secretary to make grants to new schools (which begin instruction after July 1, 1980) of veterinary medicine, optometry, podiatry, or public health. Requires any participating school to have at least 23 full-time students in the first- year class. Requires that priority be given to: (1) increase the number of entering students; (2) accelerate the beginning date of instruction; or (3) affiliated applicants. Requires that special consideration be given if the applicant-school will be located in a health manpower shortage area or in a State that has no other school of the same type. Authorizes appropriations for fiscal years 1982-1984.

Directs the Secretary to make grants ($50,000 times the number of third-year students) to private two-year medical schools wishing to convert to accredited degree-granting medical schools. Prohibits any such grant from being made unless: (1) the application has been submitted to the Secretary no later than September 30, 1982; (2) third-year students are enrolled no later than the school year beginning in fiscal year 1984; and (3) the Secretary receives assurances of affiliation with an accredited hospital. Authorizes appropriations for fiscal year 1982.

Authorizes the Secretary to make financial distress grants to schools of medicine, osteopathy, dentistry, optometry, pharmacy, podiatry, public health, or nursing for purposes of: (1) operational costs; (2) accreditation requirements; or (3) operational, managerial, and financial reforms. Authorizes appropriations for fiscal years 1982-1984.

Authorizes the Secretary to enter into a multi-year contract or cooperative agreement with such schools to meet incurred or prospective operating costs required to remove such school from long-standing financial instability. States that in order to receive such a grant a school must: (1) submit a plan for achieving financial solvency; and (2) have received financial distress support for at least three years. Prohibits any school from receiving such special assistance for more than five years. Authorizes appropriations for fiscal years 1982-1986.

Extends the family medicine grant program through fiscal year 1984. Removes the "clinical" requirement concerning such program.

Authorizes the Secretary to make grants to or enter into contracts with schools of medicine, osteopathy, or dentistry for preventive or community health related services including: (1) training programs; (2) academic administrative units; (3) joint programs; and (4) continuing education. Authorizes the Secretary to make grants to schools of medicine, osteopathy, or public health relating to occupational health for: (1) curricula development; (2) clerkships; (3) graduate studies; (4) innovative and continuing education programs; and (5) training programs in environmental health with special emphasis on chemically induced diseases. Authorizes appropriations for fiscal years 1982-1984.

Extends the area health education center program through fiscal year 1984.

Authorizes the Secretary to make grants to any public or nonprofit educational institution for interdisciplinary training programs among specified schools of medical and health studies. Authorizes appropriations for fiscal years 1982-1984.

Replaces the existing grant program for internal medicine and pediatric residencies with a grant and contract program to provide clinical training to students in specified medical and health schools in areas that are geographically remote from the main teaching sites and that are in medically underserved areas. Prohibits such a grant from being awarded to an area health education center that is already receiving assistance under an area health center grant. States that not more than: (1) 20 percent of available funds shall be used for carrying out research related to the support needs of practitioners in health manpower shortage areas; nor (2) 40 percent of such funds shall be used for continuing education. Authorizes appropriations for fiscal years 1982-1984.

Replaces the existing grant programs for occupational health training and education centers with a grant and contract program to develop or expand instruction in: (1) geriatrics; (2) nutrition; (3) disease prevention and health promotion; (4) physical medicine and rehabilitation; (5) toxicology; or (6) social and behavioral sciences as applied to patient care. Authorizes the Secretary to set aside up to 20 percent of available funds to develop curricula in other health areas. Authorizes the Secretary to make grants or contracts for: (1) health policy and health care; (2) clinical training; and (3) health personnel evaluations. Requires the Secretary to give special consideration to applications for primary care services. Authorizes the Secretary to make grants and contracts for management training programs for health care providers and administrators. Authorizes appropriations for fiscal years 1982-1984.

Replaces the existing program of family practice and dentistry grants with a grant and contract program for projects to reduce educational costs. Authorizes appropriations for fiscal years 1982-1984.

Extends the assistance to persons from disadvantaged backgrounds program through fiscal year 1984. Requires that at least 80 percent of annual appropriations be awarded to institutions of higher education. Authorizes funds to be used to provide stipends to individuals in preliminary education programs if such individuals would not otherwise be able to participate.

Authorizes the Secretary to make grants and contracts for programs to increase the participation of women in health careers, including recruitment and counseling. Authorizes appropriations for fiscal years 1982-1984.

Replaces the existing programs of start-up assistance, curriculum development, and financial distress assistance with a grant and contract program for projects and advanced traineeships for allied health professionals, including: (1) regional resource centers; (2) clinical training and demonstration projects; (3) recruitment; (4) qualification standards; (5) curriculum development; and (6) training allied health personnel for teaching or administrative-supervisory positions. Authorizes appropriations for fiscal years 1982-1984.

Establishes graduate education grant programs for fiscal years 1982-1984 in: (1) family medicine; (2) traineeships and fellowships in primary care internal medicine and pediatrics; (3) preventive medicine and dentistry; (4) training in physical medicine and rehabilitation; (5) general dentistry; and (6) special physician training projects.

Extends the graduate health administration program through fiscal year 1984. Increases from $100,000 to $150,000 the amount of non-Federal funds an applicant must obligate. Requires that specified courses and course concentrations be offered.

Authorizes the Secretary to make grants for fiscal years 1982-1984 to persons who: (1) have a doctoral degree (or equivalent) in an underrepresented health field; and (2) agree to serve at least two years as a faculty member in a school of public health.

Provides with regard to graduate traineeships in: (1) schools of public health; and (2) other health programs that: (1) the students must be U.S. citizens, nationals, or permanent residents; (2) such traineeships shall be based on need; and (3) the applicant-school shall provide assurances to the Secretary that all traineeship recipients have baccalaureate degrees. Authorizes appropriations for fiscal years 1982-1984.

Directs the Secretary to have a health care management evaluation and report prepared and to submit such report to the appropriate congressional committees within 24 months.

Authorizes the Secretary to make grants or contracts to schools of public health for special projects in: (1) disease prevention or health promotion; (2) biostatistics or epidemiology; (3) health administration; (4) environmental or occupational health; (5) nutrition; (6) geriatrics; or (7) women's or child health. Directs that special consideration be given to midcareer leadership programs. Authorizes appropriations for fiscal years 1982-1984.

Authorizes the Secretary to make grants to certain schools for special projects in: (1) biostatistics or epidemiology; (2) health administration; (3) environmental or occupational health; or (4) nutrition. Authorizes appropriations for fiscal years 1982-1984.

=Title II: Nurse Education Amendments= - Nurse Education Amendments of 1980 - Extends the grant program for nursing facilities construction, loan guarantees, and interest subsidies through fiscal year 1984. Revises the existing restriction on new project interest subsidy payments. Extends authorizations through fiscal year 1984 for the Treasury loan guarantee and interest subsidy fund. Prohibits the total amount of loans which are first guaranteed and the loans for which interest subsidies are approved from exceeding $5,000,000 in any fiscal year.

Authorizes the Secretary to make grants to new nursing schools (whose first year enrollment exceeds 23 full-time students) which begin instruction after July 1, 1980. Sets forth grant amounts for the preceding year and the first two years of enrollment. Requires that priority be given to applicants: (1) in a nurse shortage area; (2) who will increase enrollment or accelerate the beginning date of instruction; and (3) who have an affiliation with a health professions institution. Authorizes appropriations for fiscal years 1980-1982.

Repeals the existing nursing school financial distress grant program to conform to changes made by this Act.

Revises the nursing special project grant program to authorize grants and contracts for: (1) retraining and continuing education; (2) geographic and specialty distribution; (3) educational research; (4) specified categories of curriculum development; and (5) clinical education. Authorizes the Secretary, with the advice of the National Advisory Council on Nurse Training, to assist and encourage other Federal departments and agencies to utilize their resources for nurse training programs. Requires the Secretary to consult with such Council before acting on any grant application. Authorizes appropriations for fiscal years 1982-1984.

Revises the advanced nurse training grant program to: (1) authorize appropriations for fiscal years 1982-1984; and (2) provide that priority be given to projects in geographic areas lacking such programs and to projects providing part-time opportunities.

Eliminates the requirement in the nurse practitioner traineeship program that trainees be residents of a health manpower shortage area. Authorizes appropriations for fiscal years 1982-1984.

Authorizes the Secretary to make grants and contracts with nursing schools and other institutions to increase the enrollment of individuals from disadvantaged backgrounds. States that such funds may be used for recruitment, counseling, preliminary education, and publicizing funding information. Stipulates that not more than 20 percent of such funds may be awarded to nonnursing schools. Authorizes appropriations for fiscal years 1982-1984.

Replaces the existing capitation grant program with a program of national priority incentive grants to support nursing education and other related projects in the national interest. Provides that grant amounts shall be determined on the basis of enrollment. Sets forth the formulae for collegiate, associate, and diploma nursing schools. Provides for ratable fund reductions. Requires the Secretary to consult with the National Advisory Council on Nurse Training before acting on any grant application. States that a grant may be made only if the application: (1) is from a public or nonprofit private nursing school; (2) contains information required by the Secretary; and (3) provides for fiscal control and accounting procedures. Authorizes appropriations for fiscal years 1982-1984.

Includes advanced clinical training within the categories for which nurse traineeship grants may be given. Eliminates the provision regarding special consideration for specified traineeship programs. States that grants may be given to full or part-time students. Authorizes appropriations for fiscal years 1982-1984.

Authorizes appropriations for fiscal years 1982-1984 for the nurse anesthetists traineeship program.

Eliminates the restriction that participants in the nurse student loan program under such Act cannot receive a loan under the National Defense Education Act of 1958. Eliminates the authorization of appropriations for fiscal years 1982-1983 for loans to students to finish their education. Authorizes loans for fiscal year 1982 to those nursing students who are in their last year of schooling and have previously received such loans. Requires the Secretary to deposit amounts received pursuant to the distribution of assets from the capital contribution funds into the Service Contingent Loan Fund.

Extends the formula for nursing school scholarship grants through fiscal year 1984 and to authorize necessary grants for the two succeeding fiscal years for students who initially received them prior to October 1, 1984. Limits such scholarships to students who have received the maximum amount available under the basic educational opportunity grants (title IV of the Higher Education Act of 1965) and are still in financial need. Authorizes appropriations for fiscal years 1982-1984. Provides for ratable reduction of funds. Eliminates existing provisions regarding fund transfers to the scholarship and loan programs.

=Title III: National Health Service Corps Program= - Requires the Secretary to provide for training of National Health Corps Scholarship recipients to prepare them for service in medically underserved areas. Authorizes the Secretary to enter into cooperative agreements for such training. Authorizes the assignment of Corps personnel to hospitals if: (1) the hospital serves a medically underserved population; (2) the hospital has a graduate medical program; and (3) such assignment will reduce the number of foreign medical exchange participants at the hospital. Prohibits such assignment without assurances to the Secretary that the hospital is taking steps to reduce the number of such aliens. Requires the Secretary to first seek an obligated scholarship recipient who received his or her training in the underserved area's State before assigning a Corps member to a health manpower shortage area (other than certain medical facilities). Provides for the reduction of shared health services costs to a hospital replacing a foreign medical exchange participant with a Corps person.

Requires the Secretary to first seek an obligated scholarship recipient who received his or her training in the underserved area's State before assigning a Corps member to a health manpower shortage area (other than certain medical facilities).

Directs the Secretary to include information on those persons released from their service obligation in his annual report on the Corps.

Makes the provisions of this title effective as of October 1, 1980.

=Title IV: Miscellaneous= - Amends the Immigration and Nationality Act regarding alien graduates of foreign medical schools to: (1) limit an alien's stay to the lesser of seven years or the time normally required to complete a designated course of medical study (presently two years with a one year extension); (2) permit such alien to change his/her designated course of medical study upon approval of the Director of the International Communication Agency (presently must continue course of education under which admitted into the United States); (3) make such duration of stay and course change provisions applicable to those aliens entering the United States on or after January 10, 1978; (4) extend through December 31, 1985, the waiver authority (allowing such alien graduates to study in the United States) if (a) "substantial disruption" of health services would result without their participation; and (b) the limit on such entries has not been exceeded; (5) set forth entry limits for calendar years 1981-1985; (6) require the sponsoring hospital and State and municipal health authorities to submit to the Secretary a plan (of which the program using such aliens is a part) to reduce to zero by January 1, 1986, the number of requested waivers, and to report annually respecting its implementation; and (7) require the Secretary to provide information regarding such alien to the Attorney General and require the Attorney General to enforce such numerical entry limitations.

Directs the Secretary to: (1) conduct clinical tests to assess the safety and efficacy of chiropractic care for the relief of certain neuromusculoskeletal and organic disorders; (2) establish within 90 days of enactment of this Act, a review board to oversee such clinical tests; and (3) submit an annual report to the Congress (and to specified Committees) regarding such tests.

Makes the provisions of this title effective as of October 1, 1980.

=Title V: Radiation Health and Safety= - Jennings Randolph Consumer-Patient Radiation Health and Safety Act of 1980 - States that the purposes of this Act are to establish standards for: (1) certifying persons who administer radiation; and (2) training. Directs the Secretary, in consultation with other Federal agencies, States, and professional organizations, to promulgate minimum standards for the accreditation of training programs and for the certification of such persons. Requires the Secretary to: (1) provide a model State radiologic procedure safety law; and (2) reduce a State's funding under the Public Health Service Act if such State fails to enact safety standards consistent with this Act within three years of its enactment (permits an extension of up to two years). Permits a State to utilize a private accreditation or certification program if such program is consistent with the requirements of this Act. Permits the Secretary to exempt a grant or loan from the requirements of this Act if there is no unreasonable danger to the public.

Directs the Secretary, in consultation with other Federal agencies, States, and professional organizations, to promulgate guidelines aimed at reducing radiation exposure in medical diagnosis and treatment.

Requires that standards promulgated pursuant to this Act shall apply to Executive departments, agencies, and instrumentalities. Stipulates that the Administrator of Veterans' Affairs shall prescribe regulations making such standards applicable to the Veterans Administration (VA). Requires the Administrator to submit a report regarding such VA regulations to the appropriate congressional committees not later than 180 days after standards are promulgated by the Secretary.

Makes the provisions of this title effective as of October 1, 1980.