In the Senate of the United States,
September 19, 1996.
Resolved, That the bill from the House of Representa-
tives (H.R. 3378) entitled ‘‘An Act to amend the Indian
Health Care Improvement Act to extend the demonstration
program for direct billing of Medicare, Medicaid, and other
third party payors.’’, do pass with the following
AMENDMENT:
Strike out all after the enacting clause and insert:
SECTION 1. SHORT TITLE; REFERENCES.
(a) SHORT TITLE.—This Act may be cited as the ‘‘In-
dian 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 provision
of the Indian Health Care Improvement Act.
HR 3378 EAS
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 SCHOLARSHIPS.—
Section 104(b) of the Indian Health Care Improvement 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:
‘‘(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 in-
dividual has entered into under that section shall, if that
individual is a recipient of an Indian Health Scholarship,
be met in full-time practice, by service—’’;
(ii) by striking ‘‘or’’ at the end of
clause (iii);
(iii) by striking the period at the end
of clause (iv) and inserting ‘‘; or’’; and
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(iv) by adding at the end the following
new clause:
‘‘(v) in an academic setting (including a pro-
gram that receives funding under section 102, 112, or
114, or any other academic setting that the Secretary,
acting through the Service, determines to be appro-
priate for the purposes of this clause) in which the
major duties and responsibilities of the recipient are
the recruitment and training of Indian health profes-
sionals in the discipline of that recipient in a manner
consistent with the purpose of this title, as specified
in section 101.’’;
(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
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for the practice of that health profession, for an appropriate
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 satisfy-
ing 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—