,,ii #aad? ,,congress #b;d ,session ,s4 #cdjc ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,septemb] #bg1 #bjaf ,mr4 ,sullivan 7= himself & ,mr4 ,te/]7 introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,vet]ans' ,affairs ,a ,,bill ,to au?orize paym5t by ! ,dep>tm5t ( ,vet]ans ,affairs = ! co/s associat$ ) s]vice by m$ical resid5ts & int]ns at facilities op]at$ by ,indian tribes1 tribal organizations1 & ! ,indian ,heal? ,s]vice1 to require ! ,secret>y ( ,vet]ans ,affairs to c>ry out a pilot program to exp& m$ical resid5cies & int]n%ips at su* facilities1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,s]v+ our ,rural ,vet]ans ,act ( #bjaf4 #b4 ,au?orization ( paym5t by ,dep>tm5t ( ,vet]ans ,affairs = s]vice by resid5ts or int]ns at facilities op]at$ by ,indian tribes1 tribal organizations1 & ! ,indian ,heal? ,s]vice 7a7 ,9 g5]al ,subsection 7c7 ( section #gdjf ( title #ch1 ,unit$ ,/ates ,code1 is am5d$ by /rik+ ,dep>tm5t facility ea* place x appe>s & ins]t+ cov]$ facility4 7b7 ,cov]$ facility def9$ ,su* section is am5d$ by add+ at ! end ! foll[+ new subsection3 7d7 ,9 ?is section1 ! t]m cov]$ facility means-- 7#a7 a ,dep>tm5t facility2 7#b7 a facility op]at$ by an ,indian tribe or a tribal organization1 z ^? t]ms are def9$ 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act 7#be ,u4,s4,c4 #ecjd72 or 7#c7 a facility op]at$ by ! ,indian ,heal? ,s]vice4 4 #c4 ,pilot program to create or exp& graduate m$ical resid5cies at facilities op]at$ by ,indian tribes1 tribal organizations1 & ! ,indian ,heal? ,s]vice 9 rural areas 7a7 ,9 g5]al ,! ,secret>y ( ,vet]ans ,affairs1 9 consultation ) ! ,director ( ! ,indian ,heal? ,s]vice1 %all c>ry out a pilot program to e/abli% graduate m$ical education resid5cy tra9+ programs at cov]$ facilities4 7b7 ,locations ,! ,secret>y %all c>ry out ! pilot program at n m ?an "o cov]$ facility 9 ea* ( ,alaska & ,montana t has be5 select$ by ! ,secret>y = purposes ( ! pilot program4 7c7 ,duration ,! ,secret>y %all implem5t ! pilot program dur+ ! eight-ye> p]iod beg9n+ on ! date t is #ahj days aft] ! date ( ! enactm5t ( ?is ,act4 7d7 ,reimbursem5t ( co/s ,! ,secret>y %all reimburse ea* cov]$ facility p>ticipat+ 9 ! pilot program = ! foll[+ co/s associat$ ) ! pilot program3 7#a7 ,curriculum developm5t4 7#b7 ,recruitm5t1 tra9+1 & ret5tion ( resid5ts & faculty4 7#c7 ,accr$itation ( programs ( education "u ! pilot program by ! ,accr$itation ,c\ncil = ,graduate ,m$ical ,education 7,,acgme7 or ! ,am]ican ,o/eopa?ic ,association 7,,aoa74 7#d7 ,! portion ( faculty sal>ies attributable to activities relat+ to c>ry+ out ! pilot program4 7#e7 ,paym5t = exp5ses relat+ to provid+ m$ical education "u ! pilot program 9 an am\nt n to exce$-- 7,a7 ! am\nt det]m9$ "u section #cdj;,h ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bef;h7 t w\ld be paid to a cov]$ facility = su* exp5ses if ! cov]$ facility 7 a qualifi$ tea*+ heal? c5t] "u su* section1 plus 7,b7 an additional am\nt to acc\nt = ! increas$ co/s to ! cov]$ facility ( provid+ heal? c>e & m$ical education "u ! pilot program 9 rural & remote areas4 7e7 ,p]iod ( obligat$ s]vice 7#a7 ,9 g5]al ,! ,secret>y %all ent] into an agreem5t ) ea* m$ical resid5t :o p>ticipates 9 ! pilot program "u :i* su* m$ical resid5t agrees to s]ve a p]iod ( two ye>s ( obligat$ s]vice at a cov]$ facility or a facility ( ! ,dep>tm5t ( ,vet]ans ,affairs = ea* ye> 9 :i* ! m$ical resid5t p>ticipates 9 ! pilot program "u ?is section4 7#b7 ,brea* ,a m$ical resid5t :o p>ticipates 9 ! pilot program & fails to satisfy ! p]iod ( obligat$ s]vice "u p>agraph 7#a7 %all be liable to ! ,unit$ ,/ates1 9 lieu ( su* obligat$ s]vice1 = ! am\nt t has be5 paid or is payable to or on behalf ( ! m$ical resid5t "u ! pilot program1 r$uc$ by ! proportion t ! numb] ( days s]v$ = completion ( ! p]iod ( obligat$ s]vice be>s to ! total numb] ( days 9 ! p]iod ( obligat$ s]vice ( su* m$ical resid5t4 7f7 ,loan repaym5t 7#a7 ,9 g5]al ,a m$ical resid5t :o p>ticipates 9 ! pilot program %all be eligible = p>ticipation 9 ! ,indian ,heal? ,s]vice ,loan ,repaym5t ,program "u section #ajh ( ! ,indian ,heal? ,c>e ,improvem5t ,act 7#be ,u4,s4,c4 #afaf;a74 7#b7 ,au?orization ( appropriations 7,a7 ,9 g5]al ,!re is au?oriz$ to be appropriat$ to ! ,secret>y ( ,heal? & ,human ,s]vices1 act+ ?r\gh ! ,indian ,heal? ,s]vice1 su* sums z may be necess>y to cov] loan repaym5ts paid "u ! ,indian ,heal? ,s]vice ,loan ,repaym5t ,program to m$ical resid5ts p>ticipat+ 9 ! pilot program4 7,b7 ,supplem5t n supplant ,am\nts appropriat$ or o!rwise made available = ! ,indian ,heal? ,s]vice ,loan ,repaym5t ,program pursuant to ! au?orization ( appropriations "u subp>agraph 7,a7 %all supplem5t1 n supplant1 am\nts made available to su* program "u o!r provisions ( law4 7g7 ,report ,n lat] ?an two ye>s be=e ! t]m9ation ( ! pilot program "u subsection 7c71 ! ,secret>y %all submit to ! ,committee on ,vet]ans' ,affairs ( ! ,s5ate & ! ,committee on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives a report on ! feasibility & advisability (-- 7#a7 exp&+ ! pilot program to additional locations2 & 7#b7 mak+ ! pilot program or any aspect ( ! pilot program p]man5t4 7h7 ,cov]$ facility def9$ ,9 ?is section1 ! t]m cov]$ facility means a facility-- 7#a7 op]at$ by an ,indian tribe or a tribal organization 7z ^? t]ms are def9$ 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act 7#be ,u4,s4,c4 #ecjd771 or ! ,indian ,heal? ,s]vice1 t has an exi/+ reimbursem5t agreem5t ) ! ,dep>tm5t ( ,vet]ans ,affairs "u section #dje7;c7 ( ! ,indian ,heal? ,c>e ,improvem5t ,act 7#be ,u4,s4,c4 #afde7;c772 & 7#b7 locat$ 9 a rural or remote area1 z det]m9$ by ! ,secret>y4 7i7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to ! ,secret>y ( ,vet]ans ,affairs #bj1jjj1jjj = ea* ye> 9 :i* ! pilot program is c>ri$ out4