H. R. 3378—2
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, residency, or other advanced clinical training that is
required 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 satisfying 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 training (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 redesignated, 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 subpara-
graph (A) by service in a program specified in that subpara-
graph’’; and
(E) in subparagraph (D), as so redesignated—
(i) by striking ‘‘Subject to subparagraph (B),’’ and
inserting ‘‘Subject to subparagraph (C),’’; and
(ii) by striking ‘‘prescribed under section 338C of
the Public Health Service Act (42 U.S.C. 254m)’’ and
inserting ‘‘described in subparagraph (A)’’;
(2) in paragraph (4)—
(A) in subparagraph (B), by striking the matter preced-
ing 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 individual for service
or payment that relates to that scholarship shall be canceled.
‘‘(D) The Secretary shall provide for the partial or total waiver
or suspension of any obligation of service or payment of a recipient
of an Indian Health Scholarship if the Secretary determines that—
‘‘(i) it is not possible for the recipient to meet that obligation
or make that payment;
‘‘(ii) requiring that recipient to meet that obligation or
make that payment would result in extreme hardship to the
recipient; or
‘‘(iii) the enforcement of the requirement to meet the obliga-
tion or make the payment would be unconscionable.
‘‘(E) Notwithstanding any other provision of law, in any case
of extreme hardship or for other good cause shown, the Secretary
may waive, in whole or in part, the right of the United States
to recover funds made available under this section.
H. R. 3378—3
‘‘(F) Notwithstanding any other provision of law, with respect
to a recipient of an Indian Health Scholarship, no obligation for
payment may be released by a discharge in bankruptcy under
title 11, United States Code, unless that discharge is granted after
the expiration of the 5-year period beginning on the initial date
on which that payment is due, and only if the bankruptcy court
finds that the nondischarge of the obligation would be unconscion-
able.’’.
(c) CALIFORNIA CONTRACT HEALTH SERVICES DEMONSTRATION
PROGRAM.—Section 211(g) (25 U.S.C. 1621j(g)) is amended by strik-
ing ‘‘1993, 1994, 1995, 1996, and 1997’’ and inserting ‘‘1996 through
2000’’.
(d) EXTENSION OF CERTAIN DEMONSTRATION PROGRAM.—Section
405(c)(2) (25 U.S.C. 1645(c)(2)) is amended by striking ‘‘September
30, 1996’’ and inserting ‘‘September 30, 1998’’.
(e) GALLUP
ALCOHOL
AND
SUBSTANCE
ABUSE
TREATMENT
CENTER.—Section 706(d) (25 U.S.C. 1665e(d)) is amended to read
as follows:
‘‘(d) AUTHORIZATION OF APPROPRIATIONS.—There are authorized
to be appropriated, for each of fiscal years 1996 through 2000,
such sums as may be necessary to carry out subsection (b).’’.
(f) SUBSTANCE ABUSE COUNSELOR EDUCATION DEMONSTRATION
PROGRAM.—Section 711(h) (25 U.S.C. 1665j(h)) is amended by strik-
ing ‘‘1993, 1994, 1995, 1996, and 1997’’ and inserting ‘‘1996 through
2000’’.
(g) HOME
AND
COMMUNITY-BASED
CARE
DEMONSTRATION
PROGRAM.—Section 821(i) (25 U.S.C. 1680k(i)) is amended by strik-
ing ‘‘1993, 1994, 1995, 1996, and 1997’’ and inserting ‘‘1996 through
2000’’.
Speaker of the House of Representatives.
Vice President of the United States and
President of the Senate.