plan under title XIX of the Social Security Act ( 42 U.S.C. 1396 et seq.). (C) Secretary The term Secretary means the Secretary of Health and Human Services. (D) State Medicaid program The term State Medicaid program means a State plan or waiver under title XIX of the Social Security Act ( 42 U.S.C. 1396 et seq.). 402. Health professional shortage areas Section 332(a) of the Public Health Service Act ( 42 U.S.C. 254e(a) ) is amended— (1) in paragraph (2)(A), by inserting (including a community health center operated in an elementary or secondary school) after community health center