; geographic distribution (A) Grant amounts The Secretary shall determine the amount of each grant awarded under this subsection, which shall be based on the scope of the plan submitted by the medical school under paragraph (2)(B)(ii), and other appropriate factors. (B) Geographic distribution In awarding grants under this subsection, the Secretary shall ensure, to the greatest extent practicable, that such grants are equitably distributed among the geographic regions of the United States. (5) Primary care In this subsection, the term primary care means health care services related to family medicine, internal medicine, pediatrics, obstetrics, gynecology, geriatrics, or psychiatry. (6) Account to Address the Primary Care Physician Shortage (A) Establishment of account There is established in the Treasury an account, to be known as the Account to Address the Primary Care Physician Shortage (referred to in this subsection as the Account ), for purposes of carrying out this subsection. (B) Transfer of direct spending (i) In general The Secretary of the Treasury shall transfer, from the general fund of the Treasury, to the Account $300,000,000 for fiscal year 2024. (ii) Amounts deposited Any amounts transferred under clause (i) shall remain unavailable in the Account until such amounts are appropriated pursuant to subparagraph (C). (C) Appropriations (i) Authorization of appropriations For the period of fiscal years 2024 through 2026, there is authorized to be appropriated from the Account to the Secretary, for the purpose of carrying out the activities under this subsection, an amount not to exceed the total amount transferred to the Account under subparagraph (B)(i). (ii) Offsetting future appropriations For fiscal years 2024 through 2026, for any discretionary appropriation under the heading Account to Address the Primary Care Physician Shortage provided to the Secretary pursuant to the authorization of appropriations under clause (i) for the purpose of carrying out this subsection, the total amount of such