I
104TH CONGRESS
1ST SESSION
H. R. 425
To amend the Internal Revenue Code of 1986, the Public Health Service
Act, and certain other Acts to provide for an increase in the number
of health professionals serving in rural areas.
IN THE HOUSE OF REPRESENTATIVES
JANUARY 5, 1995
Mr. CLINGER introduced the following bill; which was referred to the Commit-
tee on Ways and Means and, in addition, to the Committees on Com-
merce and Economic and Educational Opportunities, for a period to be
subsequently determined by the Speaker, in each case for consideration
of such provisions as fall within the jurisdiction of the committee con-
cerned
A BILL
To amend the Internal Revenue Code of 1986, the Public
Health Service Act, and certain other Acts to provide
for an increase in the number of health professionals
serving in rural areas.
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled,
SECTION 1. SHORT TITLE; TABLE OF CONTENTS.
(a) SHORT TITLE.—This Act may be cited as the
‘‘Rural Health Professional Shortage Act of 1995’’.
(b) TABLE OF CONTENTS.—The table of contents for
this Act is as follows:
Sec. 1. Short title; table of contents.
Sec. 2. Findings.
TITLE I—TAX INCENTIVES REGARDING RURAL HEALTH
CARE
Sec. 101. National Health Service Corps loan repayments excluded from gross
income.
Sec. 102. Deduction for medical education loan interest incurred by health pro-
fessionals serving in medically underserved rural areas.
Sec. 103. Nonrefundable credit for certain primary health services providers.
Sec. 104. Expensing of medical equipment.
TITLE II—PUBLIC HEALTH SERVICE PROGRAMS
REGARDING RURAL HEALTH CARE
Subtitle A—National Health Service Corps
PART 1—GENERAL CORPS PROGRAM
Sec. 201. Designation of health professional shortage areas.
Sec. 202. Funding for special loans for former Corps members to enter private
practice in health professional shortage areas.
Sec. 203. Assignment of Corps personnel; priority for rural medical facilities
providing experience regarding health professions as career
choice.
PART 2—SCHOLARSHIP AND LOAN REPAYMENT PROGRAMS
Sec. 211. Provision regarding increase in funding.
Sec. 212. Priority for certain individuals from rural backgrounds.
PART 3—LOW-INTEREST LOANS REGARDING OBLIGATED SERVICE IN
UNDERSERVED RURAL AREAS
Sec. 221. Establishment of program of loans.
Subtitle B—Other Programs Regarding Rural Health Care
Sec. 231. State offices of rural health.
Sec. 232. Area health education center programs; authorization of appropria-
tions.
TITLE III—PROVISIONS RELATING TO THE MEDICARE
PROGRAM
Sec. 301. Elimination of application of geographic adjustment indices in deter-
mining payments for physicians’ services.
Sec. 302. Exemption from anti-kickback penalties for certain financial incen-
tives provided to physicians by rural hospitals.
Sec. 303. Extension of bonus payment for physician services provided in health
professional shortage areas to certain nonphysician providers
and other medicare-dependent providers.
TITLE IV—TREATMENT OF STUDENT LOANS FOR HEALTH
PROFESSIONALS
Sec. 401. Loans under Higher Education Act of 1965; deferments regarding
postgraduate primary-care programs in underserved rural
areas.
SEC. 2. FINDINGS.
The Congress finds as follows:
(1) For the 27 percent of Americans living in
rural areas, access to adequate medical care is some-
times limited by the lack of health professionals
serving in rural areas.
(2) The maldistribution of health professionals
is reflected by the shortages in rural areas of pri-
mary care physicians, nurse practitioners, physician
assistants, nurse midwives, registered nurses, den-
tists, mental health practitioners, and allied health
professionals.
(3) Average per capita incomes for health pro-
fessionals practicing in rural areas fall below those
of professionals in urban areas.
(4) The high costs of graduate medical edu-
cation and malpractice insurance make health pro-
fessionals very sensitive to income considerations,
and the lower earnings potential in rural areas dis-
courages graduates with high debt loads from set-
tling in rural areas.
(5) Rural physicians generally serve a higher
ratio of medicare, medicaid, and uninsured patients,
and consequently must rely on often inadequate re-
imbursements from the Federal Government.
(6) Medicare reimburses rural physicians less
than urban physicians for the same services, which
is a disincentive for young physicians contemplating
moving to and practicing in rural areas.
(7) Because rural providers are often isolated
from colleagues, they cannot rely on them for con-
sultations and second opinions, and must work long
hours, many of which are ‘‘on call’’, often with little
professional support.
(8) Health professionals tend to practice in
areas close to where they were trained, and most
academic medical institutions and teaching hospitals
are located in urban and suburban locales.
(9) Health professionals prefer working with
emerging, state-of-the-art technology that many
rural hospitals cannot afford.
(10) Health professionals serving in remote
rural communities do not have access to medical li-
braries or continuing medical education.
(11) Any health care reform package adopted
by the Congress must include provisions that im-
prove the supply and distribution of health profes-
sionals in rural areas.
TITLE I—TAX INCENTIVES RE-
GARDING 
RURAL 
HEALTH
CARE
SEC. 101. NATIONAL HEALTH SERVICE CORPS LOAN REPAY-
MENTS EXCLUDED FROM GROSS INCOME.
(a) IN GENERAL.—Part III of subchapter B of chap-
ter 1 of the Internal Revenue Code of 1986 (relating to
items specifically excluded from gross income) is amended
by redesignating section 137 as section 138 and by insert-
ing after section 136 the following new section:
‘‘SEC. 137. NATIONAL HEALTH SERVICE CORPS LOAN RE-
PAYMENTS.
‘‘(a) GENERAL RULE.—Gross income shall not in-
clude any qualified loan repayment.
‘‘(b) QUALIFIED LOAN REPAYMENT.—For purposes
of this section, the term ‘qualified loan repayment’ means
any payment made on behalf of the taxpayer by the Na-
tional Health Service Corps Loan Repayment Program
under section 338B(g) of the Public Health Service Act.’’.
(b) CONFORMING AMENDMENT.—Paragraph (3) of
section 338B(g) of the Public Health Service Act is
amended by striking ‘‘Federal, State, or local’’ and insert-
ing ‘‘State or local’’.
(c) CLERICAL AMENDMENT.—The table of sections
for part III of subchapter B of chapter 1 of the Internal
Revenue Code of 1986 is amended by striking the item
relating to section 137 and inserting the following:
‘‘Sec. 137. National Health Service Corps loan repayments.
‘‘Sec. 138. Cross references to other Acts.’’.
(d) EFFECTIVE DATE.—The amendments made by
this section shall apply to payments made under section
338B(g) of the Public Health Service Act after the date
of the enactment of this Act.
SEC. 102. DEDUCTION FOR MEDICAL EDUCATION LOAN IN-
TEREST 
INCURRED 
BY 
HEALTH 
PROFES-
SIONALS SERVING IN MEDICALLY UNDER-
SERVED RURAL AREAS.
(a) IN GENERAL.—Paragraph (1) of section 163(h)
of the Internal Revenue Code of 1986 (relating to dis-
allowance of deduction for personal interest) is amended
by striking ‘‘and’’ at the end of subparagraph (D), by re-
designating subparagraph (E) as subparagraph (F), and
by inserting after subparagraph (D) the following new
subparagraph:
‘‘(E) any qualified medical education loan
interest (within the meaning of paragraph (5)),
and’’.
(b) QUALIFIED MEDICAL EDUCATION LOAN INTER-
EST DEFINED.—Subsection (h) of section 163 of such
Code is amended by redesignating paragraph (5) as para-
graph (6) and by inserting after paragraph (4) the follow-
ing new paragraph:
‘‘(5) QUALIFIED MEDICAL EDUCATION LOAN IN-
TEREST.—
‘‘(A) IN
GENERAL.—The term ‘qualified
medical education loan interest’ means inter-
est—
‘‘(i) which is on a medical education
loan of a health professional,
‘‘(ii) which is paid or accrued by such
health professional, and
‘‘(iii) which accrues during the pe-
riod—
‘‘(I) such health professional is
providing care to residents of a medi-
cally underserved rural area, and
‘‘(II) such health professional’s
principal place of abode is in such
area.
In the case of a health professional who is a
physician, the requirement of clause (iii)(I)
shall be met only if such physician is providing
primary care (including internal medicine, pedi-
atrics, obstetrics/gynecology, family medicine,
and osteopathy) to such residents.
‘‘(B) MEDICAL
EDUCATION
LOAN.—For
purposes of subparagraph (A), the term ‘medi-
cal education loan’ means indebtedness incurred
to pay the individual’s—
‘‘(i) qualified tuition and related ex-
penses (as defined in section 117(b)) in-
curred for the medical education of such
individual, or
‘‘(ii) reasonable living expenses while
away from home in order to attend an edu-
cational institution described in section
170(b)(1)(A)(ii) for the medical education
of such individual.
‘‘(C) HEALTH
PROFESSIONAL.—For pur-
poses of subparagraph (A), the term ‘health
professional’ means any physician, physician as-
sistant, nurse practitioner, nurse clinician,
nurse midwife, and allied health professional.
‘‘(D) PHYSICIAN.—For purposes of this
paragraph, the term ‘physician’ has the mean-
ing given such term by section 1861(r)(1) of
the Social Security Act.
‘‘(E) PHYSICIAN ASSISTANT; NURSE PRAC-
TITIONER.—For purposes of this paragraph,
the terms ‘physician assistant’ and ‘nurse prac-
titioner’ have the meanings given to such terms
by section 1861(aa)(3) of the Social Security
Act.
‘‘(F) ALLIED
HEALTH
PROFESSIONAL.—
For purposes of this paragraph, the term ‘allied
health professional’ has the meaning given such
term by section 799(5) of the Public Health
Service Act.
‘‘(G) MEDICALLY
UNDERSERVED
RURAL
AREA.—For purposes of subparagraph (A), the
term ‘medically underserved rural area’ means
any rural area which is a medically underserved
area (as defined in section 330(b) or 1302(7) of
the Public Health Service Act).’’.
(c) EFFECTIVE DATE.—The amendments made by
this section shall apply to taxable years ending after the
date of the enactment of this Act.
SEC. 103. NONREFUNDABLE CREDIT FOR CERTAIN PRI-
MARY HEALTH SERVICES PROVIDERS.
(a) IN GENERAL.—Subpart A of part IV of sub-
chapter A of chapter 1 of the Internal Revenue Code of
1986 (relating to nonrefundable personal credits) is
amended by inserting after section 25 the following new
section:
‘‘SEC. 25A. PRIMARY HEALTH SERVICES PROVIDERS.
‘‘(a) ALLOWANCE
OF CREDIT.—In the case of a
qualified primary health services provider, there is allowed
as a credit against the tax imposed by this chapter for
any taxable year in a mandatory service period an amount
equal to the product of—
‘‘(1) the lesser of—
‘‘(A) the number of months of such period
occurring in such taxable year, or
‘‘(B) 36 months, reduced by the number of
months taken into account under this para-
graph with respect to such provider for all pre-
ceding taxable years (whether or not in the
same mandatory service period), multiplied by
‘‘(2) $1,000 ($500 in the case of a qualified
primary health services provider who is a physician
assistant or a nurse practitioner).
‘‘(b) QUALIFIED PRIMARY HEALTH SERVICES PRO-
VIDER.—For purposes of this section, the term ‘qualified
primary health services provider’ means any physician,
physician assistant, nurse practitioner, nurse clinician, or
nurse midwife who for any month during a mandatory
service period is certified by the Bureau to be a primary
health services provider who—
‘‘(1) is providing primary health services—
‘‘(A) full time, and
‘‘(B) to individuals at least 80 percent of
whom reside in a rural health professional
shortage area,
‘‘(2) is not receiving during such year a scholar-
ship under the National Health Service Corps Schol-
arship Program or a loan repayment under the Na-
tional Health Service Corps Loan Repayment Pro-
gram,
‘‘(3) is not fulfilling service obligations under
such Programs, and
‘‘(4) has not defaulted on such obligations.
‘‘(c) MANDATORY SERVICE PERIOD.—For purposes
of this section, the term ‘mandatory service period’ means
the period of 60 consecutive calendar months beginning
with the first month the taxpayer is a qualified primary
health services provider.
‘‘(d) DEFINITIONS AND SPECIAL RULES.—For pur-
poses of this section—
‘‘(1) BUREAU.—The term ‘Bureau’ means the
Bureau of Health Care Delivery and Assistance,
Health Resources and Services Administration of the
United States Public Health Service.
‘‘(2) PHYSICIAN.—The term ‘physician’ has the
meaning given to such term by section 1861(r) of
the Social Security Act.
‘‘(3) PHYSICIAN
ASSISTANT; NURSE
PRACTI-
TIONER.—The terms ‘physician assistant’ and ‘nurse
practitioner’ have the meanings given to such terms
by section 1861(aa)(3) of the Social Security Act.
‘‘(4) PRIMARY HEALTH SERVICES PROVIDER.—
The term ‘primary health services provider’ means a
provider of primary health services (as defined in
section 330(b)(1) of the Public Health Service Act).
‘‘(5) RURAL HEALTH PROFESSIONAL SHORTAGE
AREA.—The term ‘rural health professional shortage
area’ means—
‘‘(A) a rural health professional shortage
area (as defined in section 332(a)(1)(A) of the
Public Health Service Act) in a rural area (as
determined under section 1886(d)(2)(D) of the
Social Security Act),
‘‘(B) an area which is determined by the
Secretary of Health and Human Services as
equivalent to an area described in subparagraph
(A) and which is designated by the Bureau of
the Census as not urbanized, or
‘‘(C) a community that is certified as un-
derserved by the Secretary for purposes of par-
ticipation in the rural health clinic program
under title XVIII of the Social Security Act.
‘‘(e) RECAPTURE OF CREDIT.—
‘‘(1) IN GENERAL.—If, during any taxable year,
there is a recapture event, then the tax of the tax-
payer under this chapter for such taxable year shall
be increased by an amount equal to the product of—
‘‘(A) the applicable percentage, and
‘‘(B) the aggregate unrecaptured credits
allowed to such taxpayer under this section for
all prior taxable years.
‘‘(2) APPLICABLE RECAPTURE PERCENTAGE.—
‘‘(A) IN GENERAL.—For purposes of this
subsection, the applicable recapture percentage
shall be determined from the following table:
‘‘If the recapture
The applicable recap-
event occurs during:
ture percentage is:
Months 1–24 ..............................................
100
Months 25–36 ............................................
Months 37–48 ............................................
Months 49–60 ............................................
Months 61 and thereafter ..........................
0.
‘‘(B) TIMING.—For purposes of subpara-
graph (A), month 1 shall begin on the first day
of the mandatory service period.
‘‘(3) RECAPTURE EVENT DEFINED.—
‘‘(A) IN GENERAL.—For purposes of this
subsection, the term ‘recapture event’ means
the failure of the taxpayer to be a qualified pri-
mary health services provider for any month
during any mandatory service period.
‘‘(B) CESSATION
OF
DESIGNATION.—The
cessation of the designation of any area as a
rural health professional shortage area after the
beginning of the mandatory service period for
any taxpayer shall not constitute a recapture
event.
‘‘(C) SECRETARIAL
WAIVER.—The Sec-
retary may waive any recapture event caused by
extraordinary circumstances.
‘‘(4) NO CREDITS AGAINST TAX.—Any increase
in tax under this subsection shall not be treated as
a tax imposed by this chapter for purposes of deter-
mining the amount of any credit under subpart A,
B, or D of this part.’’.
(b) CLERICAL AMENDMENT.—The table of sections
for subpart A of part IV of subchapter A of chapter 1
of such Code is amended by inserting after the item relat-
ing to section 25 the following new item:
‘‘Sec. 25A. Primary health services providers.’’.
(c) EFFECTIVE DATE.—The amendments made by
this section shall apply to taxable years beginning after
the date of the enactment of this Act.
SEC. 104. EXPENSING OF MEDICAL EQUIPMENT.
(a) IN GENERAL.—Section 179 of the Internal Reve-
nue Code of 1986 (relating to election to expense certain
depreciable business assets) is amended—
(1) by striking paragraph (1) of subsection (b)
and inserting the following:
‘‘(1) DOLLAR LIMITATION.—
‘‘(A) GENERAL RULE.—The aggregate cost
which may be taken into account under sub-
section (a) for any taxable year shall not exceed
$17,500.
‘‘(B) RURAL HEALTH CARE PROPERTY.—
In the case of rural health care property, the
aggregate cost which may be taken into account
under subsection (a) for any taxable year shall
not exceed $25,000, reduced by the amount
otherwise taken into account under subsection
(a) for such year.’’; and
(2) by adding at the end of subsection (d) the
following new paragraph:
‘‘(11) RURAL HEALTH CARE PROPERTY.—For
purposes of this section, the term ‘rural health care
property’ means section 179 property used by a phy-
sician (as defined in section 1861(r) of the Social
Security Act) in the active conduct of such physi-
cian’s full-time trade or business of providing pri-
mary health services (as defined in section 330(b)(1)
of the Public Health Service Act) in a rural health
professional shortage area (as defined in section
25A(d)(5)).’’.
(b) EFFECTIVE DATE.—The amendments made by
this subsection shall apply to property placed in service
in taxable years beginning after the date of the enactment
of this Act.
TITLE II—PUBLIC HEALTH SERV-
ICE PROGRAMS REGARDING
RURAL HEALTH CARE
Subtitle A—National Health
Service Corps
PART 1—GENERAL CORPS PROGRAM
SEC. 
201. 
DESIGNATION 
OF 
HEALTH 
PROFESSIONAL
SHORTAGE AREAS.
Section 332(b) of the Public Health Service Act (42
U.S.C. 254e(b)) is amended by adding at the end the fol-
lowing paragraph:
‘‘(4) With respect to determining the need for
health services through the indicators of need under
paragraphs (1) and (2), consideration of the follow-
ing:
‘‘(A) The number of individuals in the pop-
ulation involved whose means of payment for
health services is the program under title XVIII
of the Social Security Act.
‘‘(B) The number of individuals in the
population whose means of payment for health
services is the program under title XIX of such
Act.
‘‘(C) The number of individuals in the pop-
ulation who are uninsured with respect to
health policies or plans.
‘‘(D) The percentage of the population
constituted by the aggregate number of individ-
uals under subparagraphs (A) through (C).
‘‘(E) In the case of community-based phy-
sicians who provide primary health services and
who are accepting additional patients whose
means of payment is through the program es-
tablished in title XVIII or XIX of the Social
Security Act, the percentage constituted by the
ratio of the number of such physicians to the
number of individuals in the population.’’.
SEC. 202. FUNDING FOR SPECIAL LOANS FOR FORMER
CORPS MEMBERS TO ENTER PRIVATE PRAC-
TICE IN HEALTH PROFESSIONAL SHORTAGE
AREAS.
(a) IN GENERAL.—
(1) ALLOCATION.—Section 338(a) of the Public
Health Service Act (42 U.S.C. 254k(a)) is amended
by adding at the end the following paragraph:
‘‘(3) Of the amounts appropriated under paragraph
(1) for a fiscal year, the Secretary shall reserve not less
than 5 percent for carrying out section 338G.’’.
(2) 
CONFORMING
AMENDMENT.—Section
338G(a) of the Public Health Service Act (42
U.S.C. 254p(a)) is amended in the matter preceding
paragraph (1) by striking ‘‘authorized under section
338’’ 
and 
inserting 
‘‘reserved 
under 
section
338(a)(3)’’.
(b) STUDY.—
(1) IN GENERAL.—During the fiscal years 1997
through 2001, the Secretary shall conduct a study
for the purpose of determining the extent to which
the program under section 338G of the Public
Health Service Act has been effective in increasing
the number of health professionals who begin private
practice in health professional shortage areas after
terminating the membership of the individuals in the
National Health Service Corps. The study shall sep-
arately state the number of such individuals who
have completed a period of obligated service under
the scholarship or loan repayment program under
section 338A or 338B of such Act, respectively.
(2) DATE
CERTAIN
FOR
COMPLETION.—Not
later than February 1, 2002, the Secretary shall
complete the study required in paragraph (1) and
submit to the Congress a report describing the find-
ings made in the study.
(3) DEFINITIONS.—For purposes of this sub-
section:
(A) The term ‘‘health professional shortage
area’’ has the meaning given such term in sec-
tion 331(a)(3) of the Public Health Service Act.
(B) The term ‘‘Secretary’’ means the Sec-
retary of Health and Human Services.
SEC. 203. ASSIGNMENT OF CORPS PERSONNEL; PRIORITY
FOR RURAL MEDICAL FACILITIES PROVIDING
EXPERIENCE REGARDING HEALTH PROFES-
SIONS AS CAREER CHOICE.
Section 333A(a)(1)(B) of the Public Health Service
Act (42 U.S.C. 254f–1(a)(1)(B)) is amended—
(1) in clause (iii), by striking ‘‘and’’ after the
semicolon at the end;
(2) in clause (iv), by adding ‘‘and’’ after the
semicolon at the end; and
(3) by adding at the end the following clause:
‘‘(v) in the case of entities providing
health services in rural areas, is operating
a program for students of rural secondary
schools or institutions of higher education
under which program the students are pro-
vided with opportunities to visit or work at
rural hospitals (or other rural health facili-
ties) for the purpose of gaining experience
regarding a career in a field of primary
health care;’’.
PART 2—SCHOLARSHIP AND LOAN REPAYMENT
PROGRAMS
SEC. 211. PROVISION REGARDING INCREASE IN FUNDING.
Section 338H(b)(1) of the Public Health Service Act
(42 U.S.C. 254q(b)(1)) is amended—
(1) by striking ‘‘and’’ after ‘‘1991,’’;
(2) by striking ‘‘through 2000’’ and inserting
‘‘through 1995,’’; and
(3) by inserting before the period the following:
‘‘$150,000,000 for fiscal year 1996, and such sums
as may be necessary for each of the fiscal years
1997 through 2001’’.
SEC. 212. PRIORITY FOR CERTAIN INDIVIDUALS FROM
RURAL BACKGROUNDS.
(a) SCHOLARSHIP PROGRAM.—Section 338A(d) of
the Public Health Service Act (42 U.S.C. 254l(d)) is
amended—
(1) in paragraph (2), in the matter preceding
subparagraph (A), by inserting ‘‘, subject to para-
graph (3),’’ after ‘‘shall’’; and
(2) by adding at the end the following para-
graph:
‘‘(3)(A) Of individuals receiving priority under para-
graph (2)(B), the Secretary shall give further priority to
any individual who has resided in a rural area for a signifi-
cant number of years and who has characteristics indicat-
ing the individual will, after the period of obligated service,
serve in a rural health professional shortage area.
‘‘(B) Factors considered by the Secretary in deter-
mining priorities for purposes of subparagraph (A) shall
include consideration of whether the health professions
school attended (or to be attended) by the individual in-
volved is a school whose graduates include a significant
number of health professionals who are serving in rural
areas.’’.
(b) LOAN REPAYMENT PROGRAM.—Section 338B(d)
of the Public Health Service Act (42 U.S.C. 254l–1(d))
is amended—
(1) in paragraph (2), in the matter preceding
subparagraph (A), by inserting ‘‘, subject to para-
graph (3),’’ after ‘‘shall’’; and
(2) by adding at the end the following para-
graph:
‘‘(3)(A) Of individuals receiving priority under para-
graph (2)(B), the Secretary shall give further priority to
any individual who has resided in a rural area for a signifi-
cant number of years and who has characteristics indicat-
ing the individual will, after the period of obligated service,
serve in a rural health professional shortage area.
‘‘(B) Factors considered by the Secretary in deter-
mining priorities for purposes of subparagraph (A) may
include consideration of whether the health professions
school attended by the individual involved is a school
whose graduates include a significant number of health
professionals who are serving in rural areas.’’.
PART 3—LOW-INTEREST LOANS REGARDING OB-
LIGATED SERVICE IN UNDERSERVED RURAL
AREAS
SEC. 221. ESTABLISHMENT OF PROGRAM OF LOANS.
Subpart III of part D of title III of the Public Health
Service Act (42 U.S.C. 254l et seq.) is amended by adding
at the end the following section:
‘‘SEC. 338M. LOAN FUND REGARDING OBLIGATED SERVICE
IN UNDERSERVED RURAL AREAS.
‘‘(a) ESTABLISHMENT OF RURAL PRIMARY HEALTH
CARE FUND.—There is established in the Treasury of the
United States a fund to be known as the Rural Primary
Health Care Fund (in this section referred to as the
‘Fund’). The Fund shall consist of such amounts as may
be appropriated under subsection (f) (and such amounts
as may be appropriated in subsections (d) and (e)(3)).
Amounts appropriated to the Fund are available until ex-
pended.
‘‘(b) EXPENDITURES FROM FUND.—Amounts in the
Fund are available to the Secretary for the purpose of car-
rying out subsection (c), subject to the extent of amounts
made available in advance in appropriations Acts.
‘‘(c) LOW-INTEREST LOANS FOR ATTENDANCE AT
HEALTH PROFESSIONS SCHOOLS; OBLIGATED SERVICE
REGARDING UNDERSERVED RURAL AREAS.—
‘‘(1) IN GENERAL.—
‘‘(A) Subject to the provisions of this sub-
section, the Secretary may, from amounts avail-
able under subsection (b), make loans to assist
individuals with the costs of attending health
professions schools if the individuals agree to
provide primary health services in an under-
served rural area.