,,ii  #aah? ,,congress  #a/ ,session    
,s4 #cjbb  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,octob] #d1 #bjbc,ms4  
,cortez ,ma/o 7= h]self & ,mr4 ,mull97  
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,indian ,affairs  ,a ,,bill  ,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 ( #bjbc4  #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$2 or  7,,ii7 accept a 
m9imum s]vice obligation ( #b ye>s ) an 
aw>d am\nt equal to #ej p]c5t ( ! am\nt 
t w\ld o!rwise be payable = full-"t 7z s
 def9$7 s]vice4  4  7b7 ,indian ,heal?  
,s]vice loan repaym5t program ,section  
#ajh7;f77#a77;,b7 ( ! ,indian ,heal?    
,c>e ,improvem5t ,act 7#be ,u4,s4,c4    
#afaf;a7f77#a77;,b77 is am5d$ 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 or  7,,ii7 7aa7 #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>y2 or  7bb7 n less 
?an #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]vice2  4