,i  #aac? ,,congress  #a/ ,session  ,h4 
,r4 #bjcg  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,may #af1 #bjac ,mr4  
,s*rad] introduc$ ! foll[+ bill2 :i* 0  
ref]r$ to ! ,committee on ,en]gy &      
,comm]ce1 & 9 addition to ! ,committee  
on ,natural ,res\rces1 = a p]iod to be  
subsequ5tly det]m9$ by ! ,speak]1 9 ea* 
case = consid]ation ( su* provisions z  
fall )9 ! jurisdiction ( ! committee    
conc]n$  ,a ,,bill  ,to e/abli% a       
demon/ration grant program to recruit1  
tra91 deploy1 & pr(essionally support   
psy*iatric physicians 9 ,indian heal?   
programs4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,native ,am]ican           
,psy*iatric & ,m5tal ,heal? ,c>e        
,improvem5t ,act4  #b4 ,f9d+s ,congress 
makes ! foll[+ f9d+s3  7#a7 ,! ,sub/ance
 ,abuse & ,m5tal ,heal? ,s]vices        
,adm9i/ration concludes ! rate ( s]i\s  
m5tal illness 9 ,am]ican ,indians &     
,alaska ,natives is twice t ( any o!r   
race or e?nicity4  7#b7 ,! ,c5t]s =     
,disease ,control & ,prev5tion concludes

 ! suicide rate among ,am]ican ,indian &
 ,alaska ,native y\? is m ?an twice t ( 
any o!r race or e?nicity4  7#c7 ,!      
,unit$ ,/ates ,surgeon ,g5]al attributes
 high rates ( homelessness1 inc>c]ation1
 alcohol & drug abuse1 /ress1 & trauma z
 pr9cipal causes ( m5tal illness 9      
,am]ican ,indians & ,alaska ,natives4   
7#d7 ,! ,ag5cy = ,heal?c>e ,rese>* &    
,quality concludes 9 ,! ,national ,heal?
 ,disp>ity ,report1 #bjaa1 t ,am]ican   
,indians & ,alaska ,natives _h worse c>e
 ?an ,:ites 9 #bh measures ( heal? c>e  
quality & access4  7#e7 ,! ,indian      
,heal? ,s]vice reports t p] capita sp5d+
 on p]sonal heal? c>e ( ,am]ican        
,indians & ,alaska ,natives 0 #b1gda 9  
#bjab--ne>ly two-?irds bel[ ! national  
av]age ( #g1bci4  7#f7 ,! ,dep>tm5t (   
,heal? & ,human ,s]vices1 ,(fice (      
,inspector ,g5]al1 reports t a %ortage (
 psy*iatri/s at ! ,indian ,heal? ,s]vice
 & o!r tribal heal? facilities          
significantly limits m5tal heal? access 
to ,am]ican ,indians & ,alaska ,natives4

  7#g7 ,! ,"o ,sky ,c5t]1 ! ,am]ican    
,indian_/,alaska ,native ,national      
,res\rce ,c5t] = ,sub/ance ,abuse &     
,m5tal ,heal? ,s]vices1 id5tifies #bj   
psy*iatri/s curr5tly practic+ 9 ,indian 
c\ntry 7out ( approximately #fj1jjj     
psy*iatri/s practic+ nationwide71 & #b  
,native ,am]ican psy*iatri/s curr5tly   
practic+ 9 ,indian c\ntry 7out ( #ac    
practic+ nationwide74  7#h7 ,accord+ to 
! ,am]ican ,psy*iatric ,association1    
psy*iatric physicians practic+ 9        
,am]ican ,indian & ,alaska ,native      
population gr\ps (t5 face cultural      
compet5cy *all5ges1 pr(essional         
isolation1 high dem& = m$ical & m5tal   
heal? s]vices1 relatively l[            
comp5sation1 & high burn\t rates4  7#i7 
,a legislative initiative is w>rant$ to 
create a nationally-replicable work=ce  
model t id5tifies & incorporates be/    
practices = recruit+1 tra9+1 deploy+1 & 
pr(essionally support+ ,native ,am]ican 
psy*iatric physicians or non-,native    
,am]ican psy*iatric physicians 7or bo?71

 :o are fully integrat$ into exi/+      
m$ical1 m5tal1 & behavioral heal? sy/ems
 9 ,indian heal? programs4  #c4         
,demon/ration grant program to recruit1 
tra91 deploy1 & pr(essionally support   
psy*iatric physicians 9 ,indian heal?   
programs  7a7 ,e/abli%m5t ,! ,secret>y (
 ,heal? & ,human ,s]vices 79 ?is section
 ref]r$ to z ! ,secret>y71 9            
consultation ) ! ,director ( ! ,indian  
,heal? ,s]vice & demon/ration programs  
e/abli%$ "u section #abc ( ! ,indian    
,heal? ,c>e ,improvem5t ,act 7#be       
,u4,s4,c4 #afafp71 %all aw>d "o #e-ye>  
grant to "o eligible entity to c>ry out 
a demon/ration program 79 ?is ,act      
ref]r$ to z ! ,program7 "u :i* !        
eligible entity %all c>ry out !         
activities describ$ 9 subsection 7b74   
7b7 ,activities ,to be c>ri$ out by     
recipi5t ( grant "u ,program ,"u !      
,program1 ! grant recipi5t %all--  7#a7 
create a nationally-replicable work=ce  
model t id5tifies & incorporates be/    
practices = recruit+1 tra9+1 deploy+1 & 

pr(essionally support+ ,native ,am]ican 
& non-,native ,am]ican psy*iatric       
physicians to be fully integrat$ into   
m$ical1 m5tal1 & behavioral heal? sy/ems
 9 ,indian heal? programs2  7#b7 recruit
 to p>ticipate 9 ! ,program ,native     
,am]ican & non-,native ,am]ican         
psy*iatric physicians :o demon/rate     
int]e/ 9 provid+ specialty heal? c>e    
s]vices 7z def9$ 9 section #cac7;a77#c7 
( ! ,indian ,heal? ,c>e ,improvem5t ,act
 7#be ,u4,s4,c4 #afch;g7a77#c777 &      
prim>y c>e s]vices to ,am]ican ,indians 
& ,alaska ,natives2  7#c7 provide su*   
psy*iatric physicians p>ticipat+ 9 !    
,program ) n m ?an #a ye> ( supplem5tal 
cl9ical & cultural compet5cy tra9+ to   
enable su* physicians to provide su*    
specialty heal? c>e s]vices & prim>y c>e
 s]vices 9 ,indian heal? programs2  7#d7
 ) respect to su* psy*iatric physicians 
:o are p>ticipat+ 9 ! ,program & tra9$  
"u p>agraph 7#c71 deploy su* physicians 
to practice specialty c>e or prim>y c>e 
9 ,indian heal? programs = a p]iod ( n  

less ?an #b ye>s & pr(essionally support
 su* physicians = su* p]iod ) respect to
 practic+ su* c>e 9 su* programs2 &     
7#e7 n lat] ?an #a ye> aft] ! la/ day ( 
! #e-ye> p]iod = :i* ! grant is aw>d$ "u
 subsection 7a71 submit to ! ,secret>y &
 to ! appropriate committees ( ,congress
 a report t %all include--  7,a7 !      
work=ce model creat$ "u p>agraph 7#a72  
7,b7 /rategies = dissem9at+ ! work=ce   
model to o!r entities ) ! capability (  
adopt+ x2 &  7,c7 recomm5dations = !    
,secret>y & ,congress ) respect to      
support+ an effective & /able psy*iatric
 & m5tal heal? work=ce t s]ves ,am]ican 
,indians & ,alaska ,natives4  7c7       
,eligible entities  7#a7 ,requirem5ts   
,to be eligible to receive ! grant "u   
?is section1 an entity %all--  7,a7     
submit to ! ,secret>y an application at 
su* "t1 9 su* mann]1 & conta9+ su*      
in=mation z ! ,secret>y may require2    
7,b7 be a dep>tm5t ( psy*iatry )9 a     
m$ical s*ool 9 ! ,unit$ ,/ates t is     
accr$it$ by ! ,liaison ,committee on    

,m$ical ,education or a public or       
private non-pr(it entity affiliat$ ) a  
m$ical s*ool 9 ! ,unit$ ,/ates t is     
accr$it$ by ! ,liaison ,committee on    
,m$ical ,education2 &  7,c7 h 9 exi/5ce1
 z ( ! "t ( submission ( ! application  
"u subp>agraph 7,a71 a relation%ip )    
,indian heal? programs 9 at lea/ two    
,/ates ) a demon/rat$ ne$ = psy*iatric  
physicians & provide assurances t !     
grant w be us$ to s]ve rural & non-rural
 ,am]ican ,indian & ,alaska ,native     
populations 9 at lea/ two ,/ates4  7#b7 
,priority 9 select+ grant recipi5t ,9   
aw>d+ ! grant "u ?is section1 !         
,secret>y %all give priority to an      
eligible entity t satisfies ea* ( !     
foll[+3  7,a7 ,demon/rates suffici5t    
infra/ructure 9 size1 scope1 & capacity 
to und]take ! supplem5tal cl9ical &     
cultural compet5cy tra9+ ( a m9imum ( #e
 psy*iatric physicians1 & to provide    
ongo+ pr(essional support to psy*iatric 
physicians dur+ ! deploym5t p]iod to an 
,indian heal? program4  7,b7            

,demon/rates a record 9 successfully    
recruit+1 tra9+1 & deploy+ physicians :o
 are ,am]ican ,indians & ,alaska        
,natives4  7,c7 ,demon/rates ! ability  
to e/abli% a program advisory bo>d1 :i* 
may be prim>ily compos$ ( repres5tatives
 ( f$]ally-recogniz$ tribes1 ,alaska    
,natives1 & ,indian heal? programs to be
 s]v$ by ! ,program4  7d7 ,eligibility (
 psy*iatric physicians ,to p>ticipate 9 
! ,program  7#a7 ,9 g5]al ,to be        
eligible to p>ticipate 9 ! ,program1 z  
describ$ 9 subsection 7b71 a psy*iatric 
physician %all--  7,a7 be lic5s$ or     
eligible = lic5sure to practice 9 !     
,/ate to :i* ! physician is to be       
deploy$ "u subsection 7b77#d72 &  7,b7  
demon/rate a commitm5t beyond ! "o ye> (
 tra9+ describ$ 9 subsection 7b77#c7 &  
two ye>s ( deploym5t describ$ 9         
subsection 7b77#d7 to a c>e] z a        
specialty c>e physician or prim>y c>e   
physician provid+ m5tal heal? s]vices 9 
,indian heal? programs4  7#b7 ,pref]5ce 
,9 select+ physicians to p>ticipate "u !

 ,program1 z describ$ 9 subsection      
7b77#b71 ! grant recipi5t %all give     
pref]5ce to physicians :o are ,am]ican  
,indians & ,alaska ,natives4  7e7 ,loan 
=giv5ess ,"u ! ,program1 any psy*iatric 
physician accept$ to p>ticipate 9 !     
,program %all1 not)/&+ ! provisions (   
subsection 7b7 ( section #ajh ( !       
,indian ,heal? ,c>e ,improvem5t ,act    
7#be ,u4,s4,c4 #afaf;a7 & ^u acceptance 
into ! ,program1 be deem$ eligible &    
enroll$ to p>ticipate 9 ! ,indian ,heal?
 ,s]vice ,loan ,repaym5t ,program "u su*
 section #ajh4 ,"u su* ,loan ,repaym5t  
,program1 ! ,secret>y %all pay on behalf
 ( ! physician = ea* ye> ( deploym5t "u 
! ,program "u ?is section up to #ce1jjj 
= loans describ$ 9 subsection 7g77#a7 ( 
su* section #ajh4  7f7 ,def]ral ( c]ta9 
s]vice ,! />t+ date ( requir$ s]vice (  
individuals 9 ! ,national ,heal? ,s]vice
 ,corps ,s]vice ,program "u title ,,ii (
 ! ,public ,heal? ,s]vice ,act 7#db     
,u4,s4,c4 #bjb et seq47 :o are          
psy*iatric physicians p>ticipat+ "u !   

,program "u ?is section %all be def]r$  
until ! date t is #cj days aft] ! date (
 completion ( ! p>ticipation ( su* a    
physician 9 ! ,program "u ?is section4  
7g7 ,def9itions ,= purposes ( ?is ,act3 
7#a7 ,am]ican ,indians & ,alaska        
,natives ,! t]m ,am]ican ,indians &     
,alaska ,natives has ! mean+ giv5 ! t]m 
,indian 9 section #ddg4ej7;b77#a7 (     
title #db1 ,code ( ,f$]al ,regulations1 
z 9 exi/5ce z ( ! date ( ! enactm5t (   
?is ,act4  7#b7 ,indian heal? program ,!
 t]m ,indian heal? program has ! mean+  
giv5 su* t]m 9 section #ajd7ab7 ( !     
,indian ,heal? ,c>e ,improvem5t ,act    
7#be ,u4,s4,c4 #afjc7ab774  7#c7        
,pr(essionally support ,! t]m           
pr(essionally support means1 ) respect  
to psy*iatric physicians p>ticipat+ 9 ! 
,program & deploy$ to practice specialty
 c>e or prim>y c>e 9 ,indian heal?      
programs1 ! provision ( comp5sation to  
su* physicians = ! provision ( su* c>e  
dur+ su* deploym5t & may include !      
provision1 dissem9ation1 or %>+ ( be/   

practices1 field tra9+1 & o!r activities
 deem$ appropriate by ! recipi5t ( !    
grant "u ?is section4  7#d7 ,psy*iatric 
physician ,! t]m psy*iatric physician   
means a m$ical doctor or doctor (       
o/eopa?y 9 good /&+ :o has successfully 
complet$ f\r-ye> psy*iatric resid5cy    
tra9+ or :o is enroll$ 9 f\r-ye>        
psy*iatric resid5cy tra9+ 9 a resid5cy  
program accr$it$ by ! ,accr$itation     
,c\ncil = ,graduate ,m$ical ,education4 
7h7 ,au?orization ( appropriations ,!re 
is au?oriz$ to be appropriat$ to c>ry   
out ?is section #a1jjj1jjj = ea* ( !    
fiscal ye>s #bjad ?r\gh #bjah4