IV
104TH CONGRESS
2D SESSION
H. RES. 544
Providing for the concurrence by the House with an amendment in the
amendment of the Senate to H.R. 3378.
IN THE HOUSE OF REPRESENTATIVES
SEPTEMBER 27, 1996
Mr. YOUNG of Alaska submitted the following resolution; which was considered
under suspension of the rules and agreed to
RESOLUTION
Providing for the concurrence by the House with an
amendment in the amendment of the Senate to H.R. 3378.
Resolved, That upon adoption of this resolution the
bill (H.R. 3378) to amend the Indian Health Care Im-
provement Act to extend the demonstration program for
direct billing of Medicare, Medicaid, and other third party
payors, with the Senate amendment thereto, shall be con-
sidered to have been taken from the Speaker’s table to
the end that the Senate amendment thereto be, and the
same are hereby, agreed to with an amendment as follows:
In lieu of the matter proposed to be inserted by the
Senate to the text of the bill, insert the following:
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SECTION 1. SHORT TITLE; REFERENCE.
(a) SHORT TITLE.—This Act may be cited as the
‘‘Indian Health Care Improvement Technical Corrections
Act of 1996’’.
(b) REFERENCES.—Whenever in this Act an amend-
ment or repeal is expressed in terms of an amendment
to or repeal of a section or other provision, the reference
shall be considered to be made to a section or other provi-
sion of the Indian Health Care Improvement Act.
SEC. 2. TECHNICAL CORRECTIONS IN THE INDIAN HEALTH
CARE IMPROVEMENT ACT.
(a) DEFINITION OF HEALTH PROFESSION.—Section
4(n) (25 U.S.C. 1603(n)) is amended—
(1) by inserting ‘‘allopathic medicine,’’ before
‘‘family medicine’’; and
(2) by striking ‘‘and allied health professions’’
and inserting ‘‘an allied health profession, or any
other health profession’’.
(b) 
INDIAN
HEALTH
PROFESSIONS
SCHOLAR-
SHIPS.—Section 104(b) of the Indian Health Care Im-
provement Act (25 U.S.C. 1613a(b)) is amended—
(1) in paragraph (3)—
(A) in subparagraph (A)—
(i) by striking the matter preceding
clause (i) and inserting the following:
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‘‘(3)(A) The active duty service obligation under a
written contract with the Secretary under section 338A
of the Public Health Service Act (42 U.S.C. 254l) that
an individual has entered into under that section shall,
if that individual is a recipient of an Indian Health Schol-
arship, be met in full-time practice, by service—’’;
(ii) by striking ‘‘or’’ at the end of
clause (iii); and
(iii) by striking the period at the end
of clause (iv) and inserting ‘‘; or’’;
(B) by redesignating subparagraphs (B)
and (C) as subparagraphs (C) and (D), respec-
tively;
(C) by inserting after subparagraph (A)
the following new subparagraph:
‘‘(B) At the request of any individual who has entered
into a contract referred to in subparagraph (A) and who
receives a degree in medicine (including osteopathic or
allopathic medicine), dentistry, optometry, podiatry, or
pharmacy, the Secretary shall defer the active duty service
obligation of that individual under that contract, in order
that such individual may complete any internship, resi-
dency, or other advanced clinical training that is required
for the practice of that health profession, for an appro-
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priate period (in years, as determined by the Secretary),
subject to the following conditions:
‘‘(i) No period of internship, residency, or other
advanced clinical training shall be counted as satis-
fying any period of obligated service that is required
under this section.
‘‘(ii) The active duty service obligation of that
individual shall commence not later than 90 days
after the completion of that advanced clinical train-
ing (or by a date specified by the Secretary).
‘‘(iii) The active duty service obligation will be
served in the health profession of that individual, in
a manner consistent with clauses (i) through (v) of
subparagraph (A).’’;
(D) in subparagraph (C), as so redesig-
nated, by striking ‘‘prescribed under section
338C of the Public Health Service Act (42
U.S.C. 254m) by service in a program specified
in subparagraph (A)’’ and inserting ‘‘described
in subparagraph (A) by service in a program
specified in that subparagraph’’; and
(E) in subparagraph (D), as so redesig-
nated—
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(i) by striking ‘‘Subject to subpara-
graph (B),’’ and inserting ‘‘Subject to sub-
paragraph (C),’’; and
(ii) by striking ‘‘prescribed under sec-
tion 338C of the Public Health Service Act
(42 U.S.C. 254m)’’ and inserting ‘‘de-
scribed in subparagraph (A)’’;
(2) in paragraph (4)—
(A) in subparagraph (B), by striking the
matter preceding clause (i) and inserting the
following:
‘‘(B) the period of obligated service described in
paragraph (3)(A) shall be equal to the greater of—
’’; and
(B) in subparagraph (C), by striking ‘‘(42
U.S.C. 254m(g)(1)(B))’’ and inserting ‘‘(42
U.S.C. 254l(g)(1)(B))’’; and
(3) in paragraph (5), by adding at the end the
following new subparagraphs:
‘‘(C) Upon the death of an individual who receives
an Indian Health Scholarship, any obligation of that indi-
vidual for service or payment that relates to that scholar-
ship shall be canceled.
‘‘(D) The Secretary shall provide for the partial or
total waiver or suspension of any obligation of service or