Table 1.

Side-by-side comparison of loan repayment initiatives for medical research

Clinical Research Enhancement Act of 2000Children's Health Act of 2000ASN Proposal
EligibilityQualified health professionalsQualified health professionals
  • Qualified health professional

    1. has a substantial amount of educational loans relative to income

    2. agrees to serve as an employee of the NIH OR as a fellow or junior faculty member of a school of medicine or school of osteopathic medicine.

Types of researchClinical research, defined as patient-oriented clinical research conducted with human subjects, or research on the causes and consequences of disease in human populations involving material of human originPediatric researchBiomedical or behavioral research
Loan repayment and taxesFor each year for which the health professionals conduct clinical research, the federal government will repay a maximum of $35,000 of the principal and interest of the educational loans.The federal government agrees to pay, for each year of service, not more than $35,000 of the principal and interest of the educational loans.For each year for which the health professionals conduct research, the federal government will repay a maximum of $35,000 of the principal and interest of the educational loans.
Years of serviceRequired minimum service period of 2 yr, as specified by the National Health Service Corps Loan Repayment Program.Required minimum service period of 2 yr, as specified by the National Health Service Corps Loan Repayment Program.Not less than 3 yr
One-yr extensions are awarded for a maximum of $35,000 per year.One-yr extensions are awarded for a maximum of $35,000 per year.
Evaluation componentNo later than 18 mo after the date of the enactment of this Act:The Director of NIH shall report annually to Congress and the public on the extent of the total funds obligated to conduct or support pediatric research across the NIH.No later than 6 yr after the date into which the first contract under the program is entered into:
The Comptroller General of the United States shall submit to the Congress a report describing the extent to which the NIH has complied with the amendments created in this law.
  1. an evaluation of contracts under the program will be completed to determine the extent to which the contracts have fostered the interest of the health professionals involved in pursuing careers in academic medicine;

  2. the evaluation will be submitted to the committees of jurisdiction of the House of Representatives and the Senate.