Page:United States Statutes at Large Volume 106 Part 3.djvu/263

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PUBLIC LAW 102-408—OCT. 13, 1992 106 STAT. 2057 "(E) to assess the impact that Federal funding for biomedical research influences the design of medical school curriculum and the availability of primary care educational opportunities; "(F) to assess the impact of medical school curriculum, including the availability of clinical training in ambulatory care settings, influences the percentage of physicians selecting primary care residencies and selecting primary care as a medical career; and "(G) to assess the extent to which current physician payment policies under resource based relative value scale are sufficient to encourage physicians graduating from medical school to enter and remain in primary care careers. "(2) DEFINITIONS.— For purposes of this subsection: "(A) The term 'primary care careers', with respect to medicine, means family practice, general internal medicine and general pediatrics. "(B) The term 'mid-level primary care health professions' means physician assistants, nurse practitioners, and nurse midwives. " (e) AUTHORIZATION OF APPROPRIATIONS.— For the purpose of carrying out this section, there is authorized to be appropriated $4,000,000 for each of the fiscal years 1993 through 1995. "SEC. 782. CHIROPRACTIC DEMONSTRATION PROJECTS. 42 USC 295a. "(a) IN GENERAL.— The Secretary may make grants to and enter into contracts with schools, colleges, and universities of chiropractic for the purpose of carrying out demonstration projects in which chiropractors and physicians collaborate to identify and provide effective treatment for spinal and lower-back conditions. " (b) PARTICIPATION OF MEDICAL SCHOOLS.— The Secretary may make an award of a grant or contract under subsection (a) only if the applicant involved has entered into such agreements as may be necessary to ensure that in the project under such subsection a school of medicine or osteopathic medicine will participate in the project. "(c) PEER REVIEW. —Each peer review group under section 798(a) reviewing proposals for grants or contracts under subsection (a) shall include no fewer than two, and no more than three, chiropractors. " (d) REPORT TO CONGRESS. — "(1) IN GENERAL.—The Secretary shall prepare a report that— "(A) summarizes the applications submitted to the Secretary for grants or contracts under subsection (a); "(B) specifies the identity of entities receiving the grants or contracts; and "(C) evaluates the effectiveness of the programs operated with the grants and contracts. "(2) DATE CERTAIN FOR SUBMISSION.—Not later than February 10, 1995, the Secretary shall complete the report required in paragraph (1) and submit the report to the Committee on Energy and Commerce of the House of Representatives and the Committee on Labor and Human Resources of the Senate. "(e) AUTHORIZATION OF APPROPRIATIONS.—For the purpose of carrying out this section, there is authorized to be appropriated $1,000,000 for each of the fiscal years 1993 through 1995.