,,ii  #aahth ,,congress  #ast ,session  
,s4 #cjbb  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,october #d1   
#bjbc,ms4 ,cortez ,masto 7for herself   
and ,mr4 ,mullin7 introduced the        
following bill2 which was read twice and
 referred to the ,committee on ,indian  
,affairs  ,a ,,bill  ,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 #bjbc4  #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 required2 or  7,,ii7 accept a minimum
 service obligation of #b years with an 
award amount equal to #ej percent of the
 amount that would otherwise be payable 
for full-time 7as so defined7 service4  
4  7b7 ,indian ,health ,service loan    
repayment program ,section              
#ajh7;f77#a77;,b7 of the ,indian ,health
 ,care ,improvement ,act 7#be ,u4,s4,c4 
#afaf;a7f77#a77;,b77 is amended 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 or  7,,ii7  
7aa7 #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       
,secretary2 or  7bb7 not less than #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   
service2  4