Page:United States Statutes at Large Volume 106 Part 5.djvu/896

 106 STAT. 4534 and PUBLIC LAW 102-573—OCT. 29, 1992 "(1) a position for which recruitment or retention is difficult; "(2) necessary for providing health care services to Indians.". (e) RESIDENCY PROGRAM.—Title I of the Act is amended by adding at the end the following new section: " NURSING RESIDENCY PROGRAM 25 USC 1616k. «SEC. 118. (a) The Secretary, acting through the Service, shall establish a program to enable licensed practical nurses, licensed vocational nurses, and registered nurses who are working in an Indian health program (as defined in section 108(a)(2)(A)), and have done so for a period of not less than one year, to pursue advanced training. "(b) Such program shall include a combination of education and work study in an Indian health program (as defined in section 108(a)(2)(A)) leading to an associate or bachelor's degree (in the case of a Ucensed practical nurse or licensed vocational nurse) or a bachelor's degree (in the case of a registered nurse). "(c) An individual who participates in a program under subsection (a), where the educational costs are paid by the Service, shall incur an obligation to serve in an Indian health program for a period of obligated service equal to at least three times the period of time during which the individual participates in such program. In the event that the individual fails to complete such obligated service, the United States shall be entitled to recover from such individual an amount determined in accordance with the formula specified in subsection (1) of section 108 in the manner provided for in such subsection.". (0 GRANTS FOR THE PROVISION OF PRIMARY CARE SERVICES ON OR NEAR INDIAN COUNTRY.— Title I of the Indian Health Care Improvement Act (25 U.S.C. 1601 et seq.) is amended by adding immediately after section 112 the following new section: "N URSING SCHOOL CLINICS 25 USC I6l6e-l. "SEC. 112A. (a) GRANTS.— In addition to the authority of the Secretary under section 112(a)(1), the Secretary, acting through the Service, is authorized to provide grants to public or private schools of nursing for the purpose of establishing, developing, operating, and administering clinics to address the health care needs of Indians, and to provide primary health care services to Indians who reside on or within 50 miles of Indian country, as defined in section 1151 of title 18, United States Code. "(b) PURPOSES. —Grants provided under subsection (a) may be used to— "(1) establish clinics, to be run and staffed by the faculty and students of a grantee school, to provide primary care services in areas in or within 50 miles of Indian country (as defined in section 1151 of title 18, United States Code); "(2) provide clinical training, program development, faculty enhancement, and student scholarships in a manner that would benefit such clinics; and "(3) carry out any other activities determined appropriate by the Secretary.

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