US SB3840

Secretary of HHS must designate Health Investment Zones within 2 years of enactment to reduce health disparities in contiguous geographic areas meeting criteria such as average income below 150% of federal poverty line, lower life expectancy than national average, or health professional shortage area designation

Creates tax incentives including a Work Opportunity Credit for employers hiring qualified Health Investment Zone workers and a 30% individual tax credit for wages earned by healthcare workers in designated zones

Establishes grant program for community-based nonprofits and local government agencies, with subgrants up to $5,000,000 (or 50% of costs) available to healthcare practitioners for facility improvements, equipment, and innovative public health strategies including mobile clinics and patient transportation

Provides student loan repayment up to $10,000 annually ($100,000 maximum over 10 years) for eligible healthcare practitioners who agree to provide full-time services in Health Investment Zones for at least 1 year

Adds Medicare Part B incentive payments of 10% for items and services furnished in Health Investment Zones, with additional 5% bonus for freestanding physician offices and FQHCs, and extra 10% for preventive services like wellness visits and cancer screenings