‘‘(3) SERVICE IN OTHER SERVICE AREAS.—The 
contract may allow the recipient to serve in another 
Service Area, provided the Tribal Health Program 
and Secretary approve and services are not dimin-
ished to Indians in the Service Area where the Trib-
al Health Program providing the scholarship is lo-
cated. 
‘‘(e) BREACH OF CONTRACT.— 
‘‘(1) SPECIFIC BREACHES.—An individual who 
has entered into a written contract with the Sec-
retary and a Tribal Health Program under sub-
section (d) shall be liable to the United States for 
the Federal share of the amount which has been 
paid to him or her, or on his or her behalf, under 
the contract if that individual— 
‘‘(A) fails to maintain an acceptable level 
of academic standing in the educational institu-
tion in which he or she is enrolled (such level 
as determined by the educational institution 
under regulations of the Secretary); 
‘‘(B) is dismissed from such educational 
institution for disciplinary reasons; 
‘‘(C) voluntarily terminates the training in 
such an educational institution for which he or 
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she is provided a scholarship under such con-
tract before the completion of such training; or 
‘‘(D) fails to accept payment, or instructs 
the educational institution in which he or she is 
enrolled not to accept payment, in whole or in 
part, of a scholarship under such contract, in 
lieu of any service obligation arising under such 
contract. 
‘‘(2) OTHER BREACHES.—If for any reason not 
specified in paragraph (1), an individual breaches a 
written contract by failing to either begin such indi-
vidual’s service obligation required under such con-
tract or to complete such service obligation, the 
United States shall be entitled to recover from the 
individual an amount determined in accordance with 
the formula specified in subsection (l) of section 110 
in the manner provided for in such subsection. 
‘‘(3) CANCELLATION UPON DEATH OF RECIPI-
ENT.—Upon the death of an individual who receives 
an Indian Health Scholarship, any outstanding obli-
gation of that individual for service or payment that 
relates to that scholarship shall be canceled. 
‘‘(4) INFORMATION.—The Secretary may carry 
out this subsection on the basis of information re-
ceived from Tribal Health Programs involved or on 
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the basis of information collected through such other 
means as the Secretary deems appropriate. 
‘‘(f) RELATION TO SOCIAL SECURITY ACT.—The re-
cipient of a scholarship under this section shall agree, in 
providing health care pursuant to the requirements here-
in— 
‘‘(1) not to discriminate against an individual 
seeking care on the basis of the ability of the indi-
vidual to pay for such care or on the basis that pay-
ment for such care will be made pursuant to a pro-
gram established in title XVIII of the Social Secu-
rity Act or pursuant to the programs established in 
title XIX or title XXI of such Act; and 
‘‘(2) to accept assignment under section 
1842(b)(3)(B)(ii) of the Social Security Act for all 
services for which payment may be made under part 
B of title XVIII of such Act, and to enter into an 
appropriate agreement with the State agency that 
administers the State plan for medical assistance 
under title XIX, or the State child health plan under 
title XXI, of such Act to provide service to individ-
uals entitled to medical assistance or child health as-
sistance, respectively, under the plan. 
‘‘(g) CONTINUANCE OF FUNDING.—The Secretary 
shall make payments under this section to a Tribal Health 
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