(a) the need for primary care practitioners in the region in which the applicant is located;
(b) the cost-effectiveness of the proposal; and
(c) the applicant's commitment to place graduates in primary care settings and/or underserved areas. 4. The intent of the program is to augment or increase training programs for nurse practitioners, physician assistants and midwives. Grant funding shall not be used to offset existing expenditures the institution or program has obligated or intends to obligate for such training programs.
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