,i  #aaf? ,,congress  #b;d ,session  ,h4
 ,r4 #eibd  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,febru>y #ah1         
#bjbj,mr4 ,mc,kinley 7= himself & ,mr4  
,wel*7 introduc$ ! foll[+ bill2 :i* 0   
ref]r$ to ! ,committee on ,en]gy &      
,comm]ce  ,a ,,bill  ,to am5d ! ,public 
,heal? ,s]vice ,act to au?orize a loan  
repaym5t program to enc\rage specialty  
m$ic9e physicians to s]ve 9 rural       
communities exp]i5c+ a %ortage (        
specialty m$ic9e physicians1 & = o!r    
purposes4  #a4 ,specialty work=ce 9     
rural communities ,title ,,vii ( !      
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bib et seq47 is am5d$-- 7#a7 
by r$esignat+ "p ,g 7#db ,u4,s4,c4      
#gie;j et seq47 z "p ,h2 &  7#b7 by     
ins]t+ aft] "p ,f 7#db ,u4,s4,c4 #bie;h7
 ! foll[+ new "p3  ,g ,specialty ,m$ic9e
 ,work=ce 9 ,rural ,communities  #ghb4  
,loan repaym5t program  7a7 ,9 g5]al ,! 
,secret>y1 act+ ?r\gh ! ,adm9i/rator ( !
 ,heal? ,res\rces & ,s]vices            
,adm9i/ration1 %all c>ry out a program  

"u :i*-- 7#a7 ! ,secret>y ent]s into    
agreem5ts ) specialty m$ic9e physicians 
to make paym5ts 9 accordance )          
subsection 7b7 on ! pr9cipal ( & int]e/ 
on any eligible loans describ$ 9        
subsection 7c72 &  7#b7 ! specialty     
m$ic9e physicians ea* agree to complete 
a p]iod ( obligat$ s]vice describ$ 9    
subsection 7d7 z a specialty m$ic9e     
physician 9 ! ,unit$ ,/ates 9 a rural   
community exp]i5c+ a %ortage ( specialty
 m$ic9e physicians4  7b7 ,paym5ts ,= ea*
 ye> ( obligat$ s]vice by a specialty   
m$ic9e physician pursuant to an agreem5t
 "u subsection 7a71 ! ,secret>y %all    
make a paym5t to su* physician z foll[s3
 7#a7 ,s]vice 9 %ortage area ,!         
,secret>y %all pay-- 7,a7 = ea* ye> (   
obligat$ s]vice by a specialty m$ic9e   
physician pursuant to an agreem5t "u    
subsection 7a71 #a_/f ( ! pr9cipal ( &  
int]e/ on ea* eligible loan ( !         
physician :i* is out/&+ on ! date !     
physician began s]vice pursuant to !    
agreem5t2 &  7,b7 = completion ( ! six? 

& f9al ye> ( su* s]vice1 ! rema9d] ( su*
 pr9cipal & int]e/4  7#b7 ,maximum am\nt
 ,! total am\nt ( paym5ts "u ?is section
 to any specialty m$ic9e physician %all 
n exce$ #bej1jjj4  7c7 ,eligible loans  
,! loans eligible = repaym5t "u ?is     
section are ea* ( ! foll[+3 7#a7 ,any   
loan = education 9 specialty m$ic9e4    
7#b7 ,any ,f$]al ,direct ,/af=d ,loan1  
,f$]al ,direct ,,plus ,loan1 ,f$]al     
,direct ,unsubsidiz$ ,/af=d ,loan1 or   
,f$]al ,direct ,consolidation ,loan 7z  
su* t]ms are us$ 9 section #dee ( !     
,high] ,education ,act ( #aife74  7#c7  
,any ,f$]al ,p]k9s ,loan "u "p ,e (     
title ,i ( ! ,high] ,education ,act (   
#aife4  7#d7 ,any o!r ,f$]al loan z     
det]m9$ appropriate by ! ,secret>y4  7d7
 ,p]iod ( obligat$ s]vice ,any specialty
 m$ic9e physician receiv+ paym5ts "u ?is
 section z requir$ by an agreem5t "u    
subsection 7a7 %all agree to a #f-ye>   
commitm5t to full-"t employm5t1 ) no m  
?an #a ye> pass+ betwe5 any #b ye>s (   
cov]$ employm5t1 z a specialty m$ic9e   

physician 9 ! ,unit$ ,/ates 9 a rural   
community exp]i5c+ a %ortage ( specialty
 m$ic9e physicians4  7e7 ,ineligibility 
= d\ble b5efits ,no borr[] may1 = ! same
 s]vice1 receive a r$uction ( loan      
obligations or a loan repaym5t "u bo?-- 
7#a7 ?is section2 &  7#b7 any ,f$]ally  
support$ loan =giv5ess program1 includ+ 
"u section #cch;,b1 #cch;,i1 or #hdf (  
?is ,act1 or section #dbh;,j1 #dbh,l1   
#dee7m71 or #dfj ( ! ,high] ,education  
,act ( #aife4  7f7 ,brea*  7#a7         
,liquidat$ damages =mula ,! ,secret>y   
may e/abli% a liquidat$ damages =mula to
 be us$ 9 ! ev5t ( a brea* ( an agreem5t
 ent]$ into "u subsection 7a74  7#b7    
,limitation ,! failure by a specialty   
m$ic9e physician to complete ! full     
p]iod ( s]vice obligat$ pursuant to su* 
an agreem5t1 tak5 alone1 %all n         
con/itute a brea* ( ! agreem5t1 s long z
 ! physician complet$ 9 good fai? ! ye>s
 ( s]vice = :i* paym5ts 7 made to !     
physician "u ?is section4  7g7 ,reports 
to ,congress ,n lat] ?an #e ye>s aft] ! 

date ( enactm5t ( ?is section1 & n less 
?an e o!r ye> !reaft] ?r\gh fiscal ye>  
#bjcj1 ! ,secret>y %all report to       
,congress on-- 7#a7 ! practice location 
( physicians p>ticipat+1 or :o h        
p>ticipat$1 9 ! loan repaym5t program "u
 ?is section2 &  7#b7 ! impact ( ! loan 
repaym5t program "u ?is section on !    
availability ( specialty m$ic9e s]vices 
9 ! ,unit$ ,/ates 9 rural communities   
exp]i5c+ a %ortage ( specialty m$ic9e   
physicians4  7h7 ,def9ition ,9 ?is      
section1 ! t]m specialty m$ic9e         
physician means a physician practic+ 9 a
 specialty id5tifi$ 9 ! ,decemb] #bjjh  
report ( ! ,heal? ,res\rces & ,s]vices  
,adm9i/ration entitl$ ,! ,physician     
,work=ce3 ,projections & ,rese>* into   
,curr5t ,issues ,affect+ ,supply & ,dem&
 z a specialty ^: basel9e project$ dem& 
exce$s its project$ supply = ! p]iod (  
#bjje ?r\gh #bjbj4  7i7 ,au?orization ( 
appropriations ,to c>ry out ?is section1
 !re are au?oriz$ to be appropriat$ su* 
sums z may be necess>y = fiscal ye>s    

#bjba ?r\gh #bjcj4  4