Page:United States Statutes at Large Volume 102 Part 5.djvu/783

 PUBLIC LAW 100-713—NOV. 23, 1988

102 STAT. 4789

INDIAN HEALTH SERVICE CLINICAL STAFFING

SEC. 108. Title I, as amended by section 107 of this Act, is further amended by adding at the end thereof the following new sections: "INDIAN HEALTH SERVICE LOAN REPAYMENT PROGRAM

"SEC. 108. (a)(1) The Secretary, acting through the Service, shall 25 USC I6l6a. establish a program to be known as the Indian Health Service Loan Repayment Program (hereinafter referred to as the 'Loan Repayment Program') in order to assure an adequate supply of trained physicians, dentists, nurses, nurse practitioners, physician assistants, clinical and counseling psychologists, graduates of schools of public health, graduates of schools of social work, and other health professionals necessary to maintain accreditation of, and provide health care services to Indians through, Indian health programs. "(2) For the purposes of this section— "(A) the term 'Indian health program' means any health program or facility funded, in whole or part, by the Service for the benefit of Indians and administered— "(i) directly by the Service; "(ii) by any Indian tribe or tribal or Indian organization pursuant to a contract under— "(I) the Indian Self-Determination Act, or "(II) section 23 of the Act of April 30, 1908 (25 U.S.C. 47), popularly known as the 'Buy-Indian' Act; or "(iii) by an urban Indian organization pursuant to title V of this Act; and "(B) the term 'State' has the same meaning given such term in section 331(i)(4) of the Public Health Service Act. "(b) To be eligible to participate in the Loan Repayment Program, an individual must— "(1)(A) be enrolled— "(i) as a full-time student in the final year of a course of study or program in an accredited institution, as determined by the Secretary, within any State; or "(ii) in an approved graduate training program in medicine, osteopathy, dentistry, or other health profession; or "(B) have— "(i) a degree in medicine, osteopathy, dentistry, or other health profession; "(ii) completed an approved graduate training program in medicine, osteopathy, dentistry, or other health profession in a State, except that the Secretary may waive the completion requirement of this clause for good cause; and "(iii) a license to practice medicine, osteopathy, dentistry, or other health profession in a State; "(2)(A) be eligible for, or hold, an appointment as a commissioned officer in the Regular or Reserve Corps of the Public Health Service; "(B) be eligible for selection for civilian service in the Regular or Reserve Corps of the Public Health Service; "(C) meet the professional standards for civil service employment in the Indian Health Service; or "(D) be employed in an Indian health program without a service obligation;

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