#aah? ,,congress  #b;d ,session  ,s4    
#cjbb  ,,an ,,act  ,to am5d ! ,indian   
,heal? ,c>e ,improvem5t ,act to all[    
,indian ,heal? ,s]vice s*ol>%ip & loan  
recipi5ts to fulfill s]vice obligations 
?r\gh half-"t cl9ical practice1 & = o!r 
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,,ihs ,work=ce ,p>ity ,act 
( #bjbd4  #b4 ,indian ,heal? ,s]vice    
s*ol>%ip & loan recipi5ts  7a7 ,indian  
heal? pr(essions s*ol>%ips ,section     
#ajd7;b77#c7 ( ! ,indian ,heal? ,c>e    
,improvem5t ,act 7#be ,u4,s4,c4         
#afac;a7b77#c77 is am5d$ by /rik+ !     
p>agraph designation & all t foll[s     
?r\gh ! end ( subp>agraph 7,a7 & ins]t+ 
! foll[+3  7#c7 7,a7 ,! active duty     
s]vice obligation "u a writt5 contract )
 ! ,secret>y "u section #cch;,a ( !     
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bedl7 t an individual has    
ent]$ into "u t section %all1 if t      
individual is a recipi5t ( an ,indian   
,heal? ,s*ol>%ip-- 7i7 be met by full-"t
 7z def9$ 9 section #cca7;j7 ( ! ,public

 ,heal? ,s]vice ,act 7#db ,u4,s4,c4     
#bed;d7j777 practice-- 7,i7 9 ! ,s]vice2
  7,,ii7 9 a program conduct$ "u a      
contract ent]$ into "u ! ,indian        
,self-,det]m9ation & ,education         
,assi/ance ,act 7#be ,u4,s4,c4 #ecja et 
seq472  7,,iii7 9 a program assi/$ "u   
title ,v2 or  7,,iv7 9 ! private        
practice ( ! applicable pr(ession if1 z 
det]m9$ by ! ,secret>y1 9 accordance )  
guidel9es issu$ by ! ,secret>y1 !       
practice-- 7aa7 is situat$ 9 a physician
 or o!r heal? pr(essional %ortage area2 
&  7bb7 addresses ! heal? c>e ne$s ( a  
sub/antial numb] ( ,indians2 or  7ii7 be
 met by half-"t 7z def9$ 9 section      
#cca7;j7 ( ! ,public ,heal? ,s]vice ,act
 7#db ,u4,s4,c4 #bed;d7j777 practice 9 a
 program describ$ 9 any ( subclauses    
7,i7 ?r\gh 7,,iv7 ( clause 7i7 if !     
individual agrees1 9 writ+-- 7,i7 to    
d\ble ! p]iod ( obligat$ s]vice t w\ld  
o!rwise be requir$ if ! individual 7    
satisfy+ ! p]iod ( obligat$ s]vice ?r\gh
 full-"t 7z s def9$7 practice2 &  7,,ii7

 t if ! individual fails to beg9 or     
complete ! p]iod ( obligat$ s]vice      
describ$ 9 subclause 7,i71 ! proc$ures  
describ$ 9 section #ajh7l77#b7 = det]m9+
 damages = brea* ( contract w be us$    
aft] conv]t+ t p]iod ( obligat$ s]vice  
or s]vice p]=m$ into its full-"t        
equival5t4  4  7b7 ,indian ,heal?       
,s]vice loan repaym5t program ,section  
#ajh ( ! ,indian ,heal? ,c>e ,improvem5t
 ,act 7#be ,u4,s4,c4 #afaf;a7 is am5d$--
 7#a7 9 subsection 7f77#a77;,b71 by     
/rik+ clause 7iii7 & ins]t+ ! foll[+3   
7iii7 to s]ve = a p]iod ( "t 7ref]r$ to 
9 ?is section z ! p]iod ( obligat$      
s]vice7 equal to-- 7,i7 #b ye>s1 or a   
long] p]iod ( "t z ! individual may     
agree to s]ve1 9 ! full-"t 7z def9$ 9   
section #cca7;j7 ( ! ,public ,heal?     
,s]vice ,act 7#db ,u4,s4,c4 #bed;d7j777 
cl9ical practice ( ! pr(ession ( !      
individual 9 an ,indian heal? program to
 :i* ! individual may be assign$ by !   
,secret>y2  7,,ii7 #d ye>s1 or a long]  
p]iod ( "t z ! individual may agree to  

s]ve1 9 ! half-"t 7z def9$ 9 t section7 
cl9ical practice ( ! pr(ession ( !      
individual 9 an ,indian heal? program to
 :i* ! individual may be assign$ by !   
,secret>y1 subject to ! condition t if !
 individual has agre$ to s]ve = a p]iod 
long] ?an #b ye>s ( full-"t 7z s def9$7 
s]vice1 z describ$ 9 subclause 7,i71 !  
half-"t 7z s def9$7 s]vice obligation   
%all be ! am\nt ( "t requir$ = !        
individual to complete an equival5t     
am\nt ( s]vice on a half-"t 7z s def9$7 
basis2 or  7,,iii7 #b ye>s 9 ! half-"t  
7z s def9$7 cl9ical practice ( !        
pr(ession ( ! individual 9 an ,indian   
heal? program to :i* ! individual may be
 assign$ by ! ,secret>y ) a loan paym5t 
am\nt equal to #ej p]c5t ( ! am\nt t    
w\ld o!rwise be payable = full-"t 7z s  
def9$7 s]vice = t same p]iod ( obligat$ 
s]vice2 &  7iv7 9 ! case ( an individual
 complet+ a p]iod ( obligat$ s]vice     
?r\gh half-"t 7z s def9$7 cl9ical       
practice1 t if ! individual fails to    
beg9 or complete t p]iod ( obligat$     

s]vice1 ! proc$ures describ$ 9          
subsection 7l77#b7 = det]m9+ damages =  
brea* ( contract "u ?is section w be us$
 aft] conv]t+ ! p]iod ( obligat$ s]vice 
or s]vice p]=m$ into its full-"t 7z s   
def9$7 equival5t2  2 &  7#b7 9          
subsection 7l77#b71 9 ! undesignat$     
matt] foll[+ subp>agraph 7,d71 by ins]t+
 ! foll[+ be=e ,am\nts3 ,p]iods (       
obligat$ s]vice complet$ 9 half-"t 7z   
def9$ 9 section #cca7;j7 ( ! ,public    
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#bed;d7j777 cl9ical practice %all be    
conv]t$ to _! full-"t 7z def9$ 9 t      
section7 equival5ts = purposes ( det]m9+
 damages = brea* ( contract "u ?is      
p>agraph44  ,pass$ ! ,s5ate ,decemb] #ag
 7legislative day1 ,decemb] #af71       
#bjbd4,secret>y