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The health professions programs in Titles VII and VIII of the Public Health Service (PHS) Act
provide grants, scholarships, and loans to support institutions and individuals in the education and
training of health professionals (Title VII) and the nursing workforce (Title VIII). During the
period from FY2001 through FY2008, funding for Title VII programs decreased by about 30%,
from $276 million to $194 million. President George W. Bush’s FY2009 budget proposed to
eliminate funding for all Title VII programs. In contrast, funding for Title VIII programs, during
the same period, increased by 86%, from about $84 million to $156 million. President Bush’s
FY2009 budget requested nearly $110 million for Title VIII programs. Legislative authority for
most of the programs established in Title VII and Title VIII expired at the end of FY2002. This
report provides a history of appropriations for the various Title VII and Title VIII of the PHS Act.
It will be updated as FY2009 appropriation actions occur.
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Background ..................................................................................................................................... 1
Title VII, Health Professions Education Appropriations ................................................................. 2
Title VIII, Nursing Workforce Development Appropriations.......................................................... 2
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Table 1. Appropriations for Title VII, Health Professions Education Programs, FY2001
through FY2009 (Est.).................................................................................................................. 3
Table 2. Appropriations for Title VIII, Nursing Workforce Development Programs,
FY2001 through FY2009 (Est.) ................................................................................................... 5
Table 3. Total Appropriations for Title VII and Title VIII Programs, FY2001 through
FY2009 (Est.) ............................................................................................................................... 6
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Author Contact Information ............................................................................................................ 7
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In 1963, Congress enacted the Health Professions Educational Assistance Act (P.L. 88-129) to
create education and training programs for various health and nursing professionals. The
programs, which are found in Titles VII and VIII of the Public Health Service (PHS) Act, provide
grants, scholarships, and loans to individuals and institutions in order to increase the supply of
health professionals, primary care providers, and nurses. Title VII programs support individuals
who study to become primary care physicians, dentists, and allied health professionals. Also,
institutions that train these individuals are eligible for grants to support the development of
education and training opportunities through endeavors such as multidisciplinary collaborative
efforts, and community partnerships. Title VIII programs support individuals who are training to
work in the nursing profession, and institutions that create nursing workforce programs. All Title
VII and VIII programs are administered by the Health Resources and Services Administration
(HRSA) in the Department of Health and Human Services (HHS). Funding for Title VII and VIII
programs is provided in the annual appropriations for the Departments of Labor, HHS, and
Education. Detailed program information is available online at the website for HRSA’s Bureau of
Health Professions at http://bhpr.hrsa.gov/.
The 1963 Act has been amended and reauthorized on several occasions since its initial passage.1
The most recent reauthorization of Title VII programs occurred in 1998 (P.L. 105-392).
Legislative authority for these programs expired at the end of FY2002 although Congress has
continued to appropriate funds.
In 2002, the Nurse Reinvestment Act (P.L. 107-205) extended existing programs in Title VIII for
Basic Nurse Education and Practice Grants, and Nurse Faculty Loans, and added the following
new programs: National Nurse Corps, Nurse Loan Repayment and Scholarship Program, Public
Service Announcements, and Comprehensive Geriatric Education. Legislative authority for these
programs expired at the end of FY2007, yet Congress has continued to appropriate funds.
Authority for the Advanced Education Nursing program, and the Nursing Workforce Diversity
program, which were established in the Health Education Partnerships Act of 1998 (P.L. 105-
392), expired at the end of FY2002.
On December 26, 2007, President George W. Bush sent his FY2009 budget to Congress in which
he eliminated funding for all Title VII programs, but proposed $110 million in funding for
selected title VIII programs. On July 8, 2008, the Senate Appropriations Committee
recommended FY2009 funding levels of about $196 million for Title VII programs and about
$168 million for Title VIII programs.2 In a draft bill that did not receive full committee action, the
House Appropriations committee, Subcommittee on Labor, Health and Human Services, and
Education (L-HHS-ED) included FY2009 funding of about $244 million for Title VII programs,
and more than $174 million for Title VIII programs. It is expected that sometime in 2009 not only
will Congress deliberate budget matters, but it will also consider the reauthorization of these
1 The Health Professions Educational Assistance Act of 1963 (P.L. 88-129) was amended in 1965 (P.L. 89-290), 1968
(P.L. 90-490), 1971 (P.L. 92-157), 1976 (P.L. 94-484), 1981 (P.L. 97-35), 1985 (P.L. 99-129), 1988 (P.L. 100-607),
1992 (P.L. 102-408), and 1998 (P.L. 105-392).
2 S.Rept. 110-410, accompanying S. 3230.
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programs. This report summarizes funding for the Title VII and VIII programs for FY2001
through FY2008, and the President’s FY2009 budget request (see Table 1, Table 2, and Table 3).
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During the period from FY2001 through FY2008, the overall appropriation for Title VII programs
declined by about one-third, from $295 million to $194 million. Throughout much of this period,
the Bush Administration sought to eliminate funding for most Title VII programs, only to have
Congress restore funding. At least three programs have remained unfunded since FY2006: Health
Education and Training, Quentin Burdick Program for Rural Interdisciplinary Training, and
Health Administration Traineeships and Special Projects. President Bush’s FY2009 budget
proposed to eliminate funding for all Title VII programs. Table 1 provides Title VII
appropriations for the period from FY2001 through FY2008, and includes President Bush’s
FY2009 budget request, and recommendations from the House and Senate for FY2009.
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During the period from FY2001 through FY2008, the overall appropriation for Title VIII
programs increased by 86%, from $93 million to $156 million. President Bush’s FY2009 budget
request proposed a 30% decrease in title VIII programs. Table 2 provides Title VIII
appropriations for the period from FY2001 through FY2008, and includes President Bush’s
FY2009 budget request and recommendations from the House and Senate for FY2009. Some
congressional committees typically show a single table that combines appropriations for Title VII
and Title VIII. Table 3 combines total appropriations for Title VII and Title VIII programs for
those same fiscal years.
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Table 1. Appropriations for Title VII, Health Professions Education Programs, FY2001 through FY2009 (Est.)
(in thousands of dollars)
Program
FY09
FY09
(PHS Act Section)
FY01
FY02
FY03
FY04
FY05
FY06
FY07
FY08
FY09 Senate House
Actual Actual Actual Actual Actual Actual Actual Enact.
Req. Comm.
Sub.
Training for Diversity
Centers of Excellence
(736)
30,388 32,788 34,088 33,657 33,609 11,872 11,880 12,773
0 12,773 28,431
Scholarships for
Disadvantaged
Students
(
737)
44,473 46,216 47,795 47,510 47,129 46,625 46,657 45,842
0 45,842 45,842
Faculty Loan
Repayment and
Minority Faculty
Fellowship
(738)
1,330 1,330 1,321 1,313 1,302 1,288 1,289 1,266
0 1,266 1,266
Health Careers
Opportunity Program
(739)
33,044 34,611 36,153 36,160 35,646 3,957 3,960 9,825
0 9,825 28,440
Subtotal, Training
for
Diversity
109,235 114,945 119,357 118,640 117,686 63,742 63,786 69,706
0 69,706 103,979
Training/Primary
Care Med/Dentistry
(747,
748)
91,048 93,002 92,432 81,917 88,816 40,823 48,851 47,998
0 48,851 47,998
Interdisciplinary Community-based Linkages
Area Health Education
Centers
(751,
757)
33,125 33,346 32,946 29,206 28,971 28,661 28,681 28,180
0 28,180 36,900
Health Education and
Training Centers (752,
757)
4,640
4,400
4,371
3,851
3,820 0 0 0 0 0 0
Geriatric Programs
(753,
757)
12,410 20,400 27,818 31,805 31,548
0 31,548 30,997
0 30,997 30,997
Quentin N. Burdick
Program/Rural Training
(754,
757)
5,988
6,996
6,954
6,125
6,076 0 0 0 0 0 0
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Program
FY09
FY09
(PHS Act Section)
FY01
FY02
FY03
FY04
FY05
FY06
FY07
FY08
FY09 Senate House
Actual Actual Actual Actual Actual Actual Actual Enact.
Req. Comm.
Sub.
Allied Health and
Other Disciplines (755,
757)
8,422 9,495 11,922 11,849 11,753 3,957 3,960 8,803
0 8,803 16,000
Subtotal,
Interdisciplinary
Community
Linkages
64,585 74,637 84,011 82,836 82,168 32,618 64,189 67,980
0 67,980 83,897
Workforce
Information and
Analysis
(761) 834
824
819
722
716 0 0 0 0 0 0
Public Health Workforce Development
Public
Health/Dental/Medicine
(766-768,
770)
9,478 10,473 10,600 9,170 9,097 7,915 7,920 8,273
0 9,000 8,273
Health Admin/Trainees
and Special Projects
(769)
1,231
1,230
1,222
1,078
1,070 0 0 0 0 0 0
Subtotal, Public
Health Workforce
Development
10,709 11,703 11,822 10,248 10,167 7,915 7,920 8,273 0 9,000 8,273
TOTAL, TITLE VII
HEALTH
PROFESSIONS
276,401 295,111 308,441 294,363 299,553 145,098 184,746 193,957
0 195,537 244,147
Sources: HHS, HRSA Budget Justification documents, FY2003 through FY2007. Amounts for FY2008, the FY2009 request, and FY2009 Senate Appropriations
recommendations are based on the table in S.Rept. 110-410, accompanying S. 3232 (July 8, 2008). Amounts recommended by the House L-HHS-ED Appropriations
Subcommittee are based on its table dated June 23, 2008.
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Table 2. Appropriations for Title VIII, Nursing Workforce Development Programs, FY2001 through FY2009 (Est.)
(in thousands of dollars)
Program
FY09
FY09
(PHS Act Section)
FY01
FY02
FY03
FY04
FY05
FY06
FY07
FY08
FY09 Senate
House
Actual Actual Actual Actual Actual Actual Actual Enact.
Req. Comm.
Subc.
Advanced Education Nursing
(811)a
59,045 60,018 50,174 58,636 58,160 57,021 57,061 61,875
0 67,000 61,875
Nursing Workforce Diversity
(821)a
4,573 6,172 9,935 16,402 16,270 16,096 16,107 15,826 16,107 16,107 16,107
Nurse Education/Practice/
Retention (831)b
12,790 16,283 26,825 31,769 36,468 37,266 37,291 36,640 37,291 37,291 37,291
Loan Repayments/ Scholarships
(846)b
7,279 10,235 19,870 26,736 31,482 31,034 31,055 30,512 43,744 30,512 43,744
Nursing Faculty Loan (846A)b NA NA 2,980 4,870 4,831 4,770 4,773 7,860 9,319 11,000 12,000
Comprehensive Geriatric
Education (855)b
NA NA 2,980 3,478 3,450 3,389 3,392 3,333 3,392 5,742 3,392
TOTAL, TITLE VIII
NURSING
83,787 92,708 112,764 141,891 150,661 149,576 149,679 156,046 109,853 167,652 174.409
Sources: HHS, HRSA Budget Justification documents, FY2003 through FY2007. Amounts for FY2008, the FY2009 request, and FY2009 Senate Appropriations
recommendations are based on the table in S.Rept. 110-410, accompanying S. 3232 (July 8, 2008). Amounts recommended by the House L-HHS-ED Appropriations
Subcommittee are based on its table dated June 23, 2008.
a. These programs were authorized in the Health Education Partnerships Act of 1998 (P.L. 105-392); authorizations expired at the end of FY2002. Section 807, Grants
for Health Professions Education, is an unfunded program.
b. These programs were authorized in the Nurse Reinvestment Act (P.L. 107-205); authorizations expired at the end of FY2007 for Sections 831, 846, 846A, and 855.
Additional programs authorized in P.L. 107-205 that remain unfunded are: Section 851, Public Service Announcements; and Section 852, State and Local Public Service
Announcements.
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Table 3. Total Appropriations for Title VI and Title VIII Programs,
FY2001 through FY2009 (Est.)
(in thousands of dollars)
FY09
FY09
Programs FY01
FY02
FY03
FY04
FY05
FY06
FY07
FY08
FY09 Senate House
Actual Actual Actual Actual Actual Actual Actual Enact.
Req. Comm.
Subc.
Title VII, Health Professions
Education
276,401 295,111 308,441 294,363 299,553 145,098 184,746 193,957
0 195,537 244,147
Title VIII, Nursing Workforce
Development
83,787 92,708 112,764 141,891 150,661 149,576 149,679 156,046 109,853 167,652 174,409
TOTAL, TITLE VII AND
TITLE
VIII
360,188 387,819 421,205 436,254 450,214 294,674 334,425 350,003 109,853 363,189 418,556
Sources: HHS, HRSA Budget Justification documents, FY2003 through FY2007. Amounts for FY2008, the FY2009 request, and FY2009 Senate Appropriations
recommendations are based on the table in S.Rept. 110-410, accompanying S. 3232 (July 8, 2008). Amounts recommended by the House L-HHS-ED Appropriations
Subcommittee are based on its table dated June 23, 2008.
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Bernice Reyes-Akinbileje
Mary Vennetta Wright
Analyst in Health Resources and Services
Information Research Specialist
breyes@crs.loc.gov, 7-2260
mwright@crs.loc.gov, 7-7541
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