#aahth ,,congress  #b;d ,session  ,s4   
#cjbb  ,,an ,,act  ,to amend the ,indian
 ,health ,care ,improvement ,act to     
allow ,indian ,health ,service          
scholarship and loan recipients to      
fulfill service obligations through     
half-time clinical practice1 and for    
other purposes4  #a4 ,short title ,this 
,act may be cited as the ,,ihs          
,workforce ,parity ,act of #bjbd4  #b4  
,indian ,health ,service scholarship and
 loan recipients  7a7 ,indian health    
professions scholarships ,section       
#ajd7;b77#c7 of the ,indian ,health     
,care ,improvement ,act 7#be ,u4,s4,c4  
#afac;a7b77#c77 is amended by striking  
the paragraph designation and all that  
follows through the end of subparagraph 
7,a7 and inserting the following3  7#c7 
7,a7 ,the active duty service obligation
 under a written contract with the      
,secretary under section #cch;,a of the 
,public ,health ,service ,act 7#db      
,u4,s4,c4 #bedl7 that an individual has 
entered into under that section shall1  

if that individual is a recipient of an 
,indian ,health ,scholarship-- 7i7 be   
met by full-time 7as defined in section 
#cca7;j7 of the ,public ,health ,service
 ,act 7#db ,u4,s4,c4 #bed;d7j777        
practice-- 7,i7 in the ,service2  7,,ii7
 in a program conducted under a contract
 entered into under the ,indian         
,self-,determination and ,education     
,assistance ,act 7#be ,u4,s4,c4 #ecja et
 seq472  7,,iii7 in a program assisted  
under title ,v2 or  7,,iv7 in the       
private practice of the applicable      
profession if1 as determined by the     
,secretary1 in accordance with          
guidelines issued by the ,secretary1 the
 practice-- 7aa7 is situated in a       
physician or other health professional  
shortage area2 and  7bb7 addresses the  
health care needs of a substantial      
number of ,indians2 or  7ii7 be met by  
half-time 7as defined in section        
#cca7;j7 of the ,public ,health ,service
 ,act 7#db ,u4,s4,c4 #bed;d7j777        
practice in a program described in any  

of subclauses 7,i7 through 7,,iv7 of    
clause 7i7 if the individual agrees1 in 
writing-- 7,i7 to double the period of  
obligated service that would otherwise  
be required if the individual were      
satisfying the period of obligated      
service through full-time 7as so        
defined7 practice2 and  7,,ii7 that if  
the individual fails to begin or        
complete the period of obligated service
 described in subclause 7,i71 the       
procedures described in section         
#ajh7l77#b7 for determining damages for 
breach of contract will be used after   
converting that period of obligated     
service or service performed into its   
full-time equivalent4  4  7b7 ,indian   
,health ,service loan repayment program 
,section #ajh of the ,indian ,health    
,care ,improvement ,act 7#be ,u4,s4,c4  
#afaf;a7 is amended-- 7#a7 in subsection
 7f77#a77;,b71 by striking clause 7iii7 
and inserting the following3  7iii7 to  
serve for a period of time 7referred to 
in this section as the period of        

obligated service7 equal to-- 7,i7 #b   
years1 or a longer period of time as the
 individual may agree to serve1 in the  
full-time 7as defined in section        
#cca7;j7 of the ,public ,health ,service
 ,act 7#db ,u4,s4,c4 #bed;d7j777        
clinical practice of the profession of  
the individual in an ,indian health     
program to which the individual may be  
assigned by the ,secretary2  7,,ii7 #d  
years1 or a longer period of time as the
 individual may agree to serve1 in the  
half-time 7as defined in that section7  
clinical practice of the profession of  
the individual in an ,indian health     
program to which the individual may be  
assigned by the ,secretary1 subject to  
the condition that if the individual has
 agreed to serve for a period longer    
than #b years of full-time 7as so       
defined7 service1 as described in       
subclause 7,i71 the half-time 7as so    
defined7 service obligation shall be the
 amount of time required for the        
individual to complete an equivalent    

amount of service on a half-time 7as so 
defined7 basis2 or  7,,iii7 #b years in 
the half-time 7as so defined7 clinical  
practice of the profession of the       
individual in an ,indian health program 
to which the individual may be assigned 
by the ,secretary with a loan payment   
amount equal to #ej percent of the      
amount that would otherwise be payable  
for full-time 7as so defined7 service   
for that same period of obligated       
service2 and  7iv7 in the case of an    
individual completing a period of       
obligated service through half-time 7as 
so defined7 clinical practice1 that if  
the individual fails to begin or        
complete that period of obligated       
service1 the procedures described in    
subsection 7l77#b7 for determining      
damages for breach of contract under    
this section will be used after         
converting the period of obligated      
service or service performed into its   
full-time 7as so defined7 equivalent2  2
 and  7#b7 in subsection 7l77#b71 in the

 undesignated matter following          
subparagraph 7,d71 by inserting the     
following before ,amounts3 ,periods of  
obligated service completed in half-time
 7as defined in section #cca7;j7 of the 
,public ,health ,service ,act 7#db      
,u4,s4,c4 #bed;d7j777 clinical practice 
shall be converted to their full-time   
7as defined in that section7 equivalents
 for purposes of determining damages for
 breach of contract under this          
paragraph44  ,passed the ,senate        
,december #ag 7legislative day1         
,december #af71 #bjbd4,secretary