,,ii  #aai? ,,congress  #a/ ,session    
,s4 #achj  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,april #i1 #bjbe,ms4   
,ros5 7= h]self & ,mr4 ,wick]7 introduc$
 ! foll[+ bill2 :i* 0 read twice &      
ref]r$ to ! ,committee on ,heal?1       
,education1 ,labor1 & ,p5sions  ,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 ,%ort
 title ,?is ,act may be cit$ z !        
,specialty ,physicians ,advanc+ ,rural  
,c>e ,act or ! ,,sp>c ,act4  #b4        
,specialty m$ical practition]s work=ce 9
 rural communities ,title ,,vii ( !     
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bib et seq47 is am5d$-- 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  7#a7   
,program = specialty m$ic9e physicians  
,! ,secret>y1 act+ ?r\gh ! ,adm9i/rator 
( ! ,heal? ,res\rces & ,s]vices         
,adm9i/ration1 %all c>ry out a program  
"u :i*-- 7,a7 ! ,secret>y ent]s into    
agreem5ts ) specialty m$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  7#b7 ,program =    
non-physician specialty heal? c>e       
provid]s ,! ,secret>y1 act+ ?r\gh !     
,adm9i/rator ( ! ,heal? ,res\rces &     
,s]vices ,adm9i/ration1 may c>ry out a  
program "u :i*-- 7,a7 ! ,secret>y ent]s 
into agreem5ts ) non-physician specialty
 heal? c>e provid]s to make paym5ts 9   
accordance ) subsection 7b7 on !        

pr9cipal ( & int]e/ on any eligible     
loans describ$ 9 subsection 7c72 &  7,b7
 ! non-physician specialty heal? c>e    
provid]s ea* agree to complete a p]iod (
 obligat$ s]vice describ$ 9 subsection  
7d7 z a non-physician specialty heal?   
c>e provid] 9 ! ,unit$ ,/ates 9 a rural 
community exp]i5c+ a %ortage ( su*      
provid]s4  7b7 ,paym5ts ,= ea* ye> (    
obligat$ s]vice by a specialty m$ic9e   
physician pursuant to an agreem5t "u    
subsection 7a77#a7 or by a non-physician
 specialty heal? c>e provid] pursuant to
 an agreem5t "u subsection 7a77#b71 !   
,secret>y %all make a paym5t to su*     
physician or provid] z foll[s3 7#a7     
,s]vice 9 %ortage area ,! ,secret>y %all
 pay-- 7,a7 = ea* ye> ( obligat$ s]vice 
by a specialty m$ic9e physician or      
non-physician specialty heal? c>e       
provid] pursuant to an agreem5t "u      
p>agraph 7#a7 or 7#b7 ( subsection 7a71 
#a_/f ( ! pr9cipal ( & int]e/ on ea*    
eligible loan ( ! physician or provid]  
:i* is out/&+ on ! date ! physician or  

provid] 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$ic9e physician or   
non-physician specialty heal? c>e       
provid] %all n exce$ #bej1jjj4  7c7     
,eligible loans ,! loans eligible =     
repaym5t "u ?is section are ea* ( !     
foll[+3 7#a7 ,any loan = education 9    
specialty m$ic9e or specialty heal? c>e4
  7#b7 ,any ,f$]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 or non-physician      
specialty heal? c>e provid] receiv+     

paym5ts "u ?is section z requir$ by an  
agreem5t "u p>agraph 7#a7 or 7#b7 (     
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$ic9e   
physician or non-physician specialty    
heal? c>e provid]1 z applicable1 9 !    
,unit$ ,/ates 9 a rural community       
exp]i5c+ a %ortage ( specialty m$ic9e   
physicians or non-physician specialty   
heal? c>e provid]s1 z applicable4  7e7  
,ineligibility = d\ble b5efits ,no      
borr[] may1 = ! same s]vice1 receive a  
r$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       

p>agraph 7#a7 or 7#b7 ( subsection 7a74 
7#b7 ,limitation ,! failure by a        
specialty m$ic9e physician or a         
non-physician specialty heal? c>e       
provid] to complete ! full p]iod (      
s]vice obligat$ pursuant to su* an      
agreem5t1 tak5 alone1 %all n con/itute a
 brea* ( ! agreem5t1 s long z !         
physician or provid] complet$ 9 good    
fai? ! ye>s ( s]vice = :i* paym5ts 7    
made to ! physician or provid] "u ?is   
section4  7g7 ,special rules =          
non-,physician specialty heal? c>e      
provid]s ,non-physician specialty heal? 
c>e provid]s p>ticipat+ 9 ! program "u  
?is section are n eligible = o!r ,f$]al 
loan =giv5ess programs specific to heal?
 c>e provid]s4 ,n m ?an #ae p]c5t (     
am\nts made available to c>ry out ?is   
section = a fiscal ye> may be allocat$  
to aw>ds to non-physician specialty     
heal? c>e provid]s4  7h7 ,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>  

#bjcc1 ! ,secret>y %all report to       
,congress on-- 7#a7 ! practice location 
( special m$ic9e physicians &           
non-physician specialty heal? c>e       
provid]s 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 or      
specialty heal? c>e s]vices 9 ! ,unit$  
,/ates 9 rural communities exp]i5c+ a   
%ortage ( specialty m$ic9e physicians or
 non-physician specialty heal? c>e      
provid]s4  7i7 ,data updates ,!         
,adm9i/rator ( ! ,heal? ,res\rces &     
,s]vices ,adm9i/ration %all update      
publicly available data on ! supply (   
specialty m$ic9e physicians &           
non-physician specialty heal? c>e       
provid]s1 z appropriate4  7j7           
,def9itions ,9 ?is section3 7#a7        
,non-physician specialty heal? c>e      
provid] ,! t]m non-physician specialty  
heal? c>e provid] means a heal?         
pr(essional o!r ?an a physician :o is   

lic5s$ to provide pati5t c>e o!r ?an    
prim>y c>e s]vices4  7#b7 ,specialty    
m$ic9e physician ,! t]m specialty m$ic9e
 physician means a physician practic+ 9 
an area ( m$ic9e o!r ?an prim>y c>e4    
7k7 ,au?orization ( appropriations ,to  
c>ry out ?is section1 !re are au?oriz$  
to be appropriat$ su* sums z may be     
necess>y = fiscal ye>s #bjbe ?r\gh      
#bjcd4  4