1724 
nurses to provide, or continue to provide, health care 
services to Indians. 
‘‘(4) To provide a program that increases the 
skills of, and provides continuing education to, 
nurses, nurse midwives, and advanced practice 
nurses. 
‘‘(5) To provide any program that is designed 
to achieve the purpose described in subsection (a). 
‘‘(c) APPLICATIONS.—Each application for a grant 
under subsection (a) shall include such information as the 
Secretary may require to establish the connection between 
the program of the applicant and a health care facility 
that primarily serves Indians. 
‘‘(d) PREFERENCES FOR GRANT RECIPIENTS.—In 
providing grants under subsection (a), the Secretary shall 
extend a preference to the following: 
‘‘(1) Programs that provide a preference to In-
dians. 
‘‘(2) Programs that train nurse midwives or ad-
vanced practice nurses. 
‘‘(3) Programs that are interdisciplinary. 
‘‘(4) Programs that are conducted in coopera-
tion with a program for gifted and talented Indian 
students.
1725 
‘‘(5) Programs conducted by tribal colleges and 
universities. 
‘‘(e) QUENTIN N. BURDICK PROGRAM GRANT.—The 
Secretary shall provide 1 of the grants authorized under 
subsection (a) to establish and maintain a program at the 
University of North Dakota to be known as the ‘Quentin 
N. Burdick American Indians Into Nursing Program’. 
Such program shall, to the maximum extent feasible, co-
ordinate with the Quentin N. Burdick Indian Health Pro-
grams established under section 117(b) and the Quentin 
N. Burdick American Indians Into Psychology Program 
established under section 105(b). 
‘‘(f) ACTIVE DUTY SERVICE OBLIGATION.—The ac-
tive duty service obligation prescribed under section 338C 
of the Public Health Service Act (42 U.S.C. 254m) shall 
be met by each individual who receives training or assist-
ance described in paragraph (1) or (2) of subsection (b) 
that is funded by a grant provided under subsection (a). 
Such obligation shall be met by service— 
‘‘(1) in the Service; 
‘‘(2) in a program of an Indian Tribe or Tribal 
Organization conducted under the Indian Self-Deter-
mination and Education Assistance Act (25 U.S.C. 
450 et seq.) (including programs under agreements 
with the Bureau of Indian Affairs);
1726 
‘‘(3) in a program assisted under title V of this 
Act; 
‘‘(4) in the private practice of nursing if, as de-
termined by the Secretary, in accordance with guide-
lines promulgated by the Secretary, such practice is 
situated in a physician or other health shortage area 
and addresses the health care needs of a substantial 
number of Indians; or 
‘‘(5) in a teaching capacity in a tribal college or 
university nursing program (or a related health pro-
fession program) if, as determined by the Secretary, 
health services provided to Indians would not de-
crease. 
‘‘SEC. 116. TRIBAL CULTURAL ORIENTATION. 
‘‘(a) CULTURAL EDUCATION OF EMPLOYEES.—The 
Secretary, acting through the Service, shall require that 
appropriate employees of the Service who serve Indian 
Tribes in each Service Area receive educational instruction 
in the history and culture of such Indian Tribes and their 
relationship to the Service. 
‘‘(b) PROGRAM.—In carrying out subsection (a), the 
Secretary shall establish a program which shall, to the ex-
tent feasible—
1727 
‘‘(1) be developed in consultation with the af-
fected Indian Tribes, Tribal Organizations, and 
urban Indian organizations; 
‘‘(2) be carried out through tribal colleges or 
universities; 
‘‘(3) include instruction in American Indian 
studies; and 
‘‘(4) describe the use and place of traditional 
health care practices of the Indian Tribes in the 
Service Area. 
‘‘SEC. 117. INMED PROGRAM. 
‘‘(a) GRANTS AUTHORIZED.—The Secretary, acting 
through the Service, is authorized to provide grants to col-
leges and universities for the purpose of maintaining and 
expanding the Indian health careers recruitment program 
known as the ‘Indians Into Medicine Program’ (herein-
after in this section referred to as ‘INMED’) as a means 
of encouraging Indians to enter the health professions. 
‘‘(b) QUENTIN N. BURDICK GRANT.—The Secretary 
shall provide 1 of the grants authorized under subsection 
(a) to maintain the INMED program at the University 
of North Dakota, to be known as the ‘Quentin N. Burdick 
Indian Health Programs’, unless the Secretary makes a 
determination, based upon program reviews, that the pro-
gram is not meeting the purposes of this section. Such
1728 
program shall, to the maximum extent feasible, coordinate 
with the Quentin N. Burdick American Indians Into Psy-
chology Program established under section 105(b) and the 
Quentin N. Burdick American Indians Into Nursing Pro-
gram established under section 115. 
‘‘(c) REGULATIONS.—The Secretary, pursuant to this 
Act, shall develop regulations to govern grants pursuant 
to this section. 
‘‘(d) REQUIREMENTS.—Applicants for grants pro-
vided under this section shall agree to provide a program 
which— 
‘‘(1) provides outreach and recruitment for 
health professions to Indian communities including 
elementary and secondary schools and community 
colleges located on reservations which will be served 
by the program; 
‘‘(2) incorporates a program advisory board 
comprised of representatives from the Indian Tribes 
and Indian communities which will be served by the 
program; 
‘‘(3) provides summer preparatory programs for 
Indian students who need enrichment in the subjects 
of math and science in order to pursue training in 
the health professions;