‘‘SEC. 120. NURSING RESIDENCY PROGRAM. 
‘‘(a) ESTABLISHMENT
OF
PROGRAM.—The Sec-
retary, acting through the Service, shall establish a pro-
gram to enable Indians who are licensed practical nurses, 
licensed vocational nurses, and registered nurses who are 
working in an Indian Health Program or Urban Indian 
Organization, and have done so for a period of not less 
than 1 year, to pursue advanced training. Such program 
shall include a combination of education and work study 
in an Indian Health Program or Urban Indian Organiza-
tion leading to an associate or bachelor’s degree (in the 
case of a licensed practical nurse or licensed vocational 
nurse), a bachelor’s degree (in the case of a registered 
nurse), or advanced degrees or certifications in nursing 
and public health. 
‘‘(b) SERVICE OBLIGATION.—An individual who par-
ticipates in a program under subsection (a), where the 
educational costs are paid by the Service, shall incur an 
obligation to serve in an Indian Health Program or Urban 
Indian Organization for a period of obligated service equal 
to 1 year for every year that nonprofessional employee (li-
censed practical nurses, licensed vocational nurses, nurs-
ing assistants, and various health care technicals), or 2 
years for every year that professional nurse (associate de-
gree and bachelor-prepared registered nurses), partici-
pates in such program. In the event that the individual 
VerDate Aug 31 2005 
22:10 Mar 11, 2007
Jkt 059200
PO 00000
Frm 00077
Fmt 6652
Sfmt 6201
E:\BILLS\H1328.IH
H1328
ycherry on PROD1PC64 with BILLS
fails to complete such obligated service, the United States 
shall be entitled to recover from such individual an amount 
determined in accordance with the formula specified in 
subsection (l) of section 110 in the manner provided for 
in such subsection. 
‘‘SEC. 121. COMMUNITY HEALTH AIDE PROGRAM. 
‘‘(a) GENERAL PURPOSES OF PROGRAM.—Under the 
authority of the Act of November 2, 1921 (25 U.S.C. 13) 
(commonly known as the ‘Snyder Act’), the Secretary, act-
ing through the Service, shall develop and operate a Com-
munity Health Aide Program in Alaska under which the 
Service— 
‘‘(1) provides for the training of Alaska Natives 
as health aides or community health practitioners; 
‘‘(2) uses such aides or practitioners in the pro-
vision of health care, health promotion, and disease 
prevention services to Alaska Natives living in vil-
lages in rural Alaska; and 
‘‘(3) provides for the establishment of tele-
conferencing capacity in health clinics located in or 
near such villages for use by community health aides 
or community health practitioners. 
‘‘(b) SPECIFIC PROGRAM REQUIREMENTS.—The Sec-
retary, acting through the Community Health Aide Pro-
gram of the Service, shall— 
VerDate Aug 31 2005 
22:10 Mar 11, 2007
Jkt 059200
PO 00000
Frm 00078
Fmt 6652
Sfmt 6201
E:\BILLS\H1328.IH
H1328
ycherry on PROD1PC64 with BILLS
‘‘(1) using trainers accredited by the Program, 
provide a high standard of training to community 
health aides and community health practitioners to 
ensure that such aides and practitioners provide 
quality health care, health promotion, and disease 
prevention services to the villages served by the Pro-
gram; 
‘‘(2) in order to provide such training, develop 
a curriculum that— 
‘‘(A) combines education in the theory of 
health care with supervised practical experience 
in the provision of health care; 
‘‘(B) provides instruction and practical ex-
perience in the provision of acute care, emer-
gency care, health promotion, disease preven-
tion, and the efficient and effective manage-
ment of clinic pharmacies, supplies, equipment, 
and facilities; and 
‘‘(C) promotes the achievement of the 
health status objectives specified in section 
3(2); 
‘‘(3) establish and maintain a Community 
Health Aide Certification Board to certify as com-
munity health aides or community health practi-
tioners individuals who have successfully completed 
VerDate Aug 31 2005 
22:10 Mar 11, 2007
Jkt 059200
PO 00000
Frm 00079
Fmt 6652
Sfmt 6201
E:\BILLS\H1328.IH
H1328
ycherry on PROD1PC64 with BILLS
the training described in paragraph (1) or can dem-
onstrate equivalent experience; 
‘‘(4) develop and maintain a system which iden-
tifies the needs of community health aides and com-
munity health practitioners for continuing education 
in the provision of health care, including the areas 
described in paragraph (2)(B), and develop pro-
grams that meet the needs for such continuing edu-
cation; 
‘‘(5) develop and maintain a system that pro-
vides close supervision of community health aides 
and community health practitioners; 
‘‘(6) develop a system under which the work of 
community health aides and community health prac-
titioners is reviewed and evaluated to assure the pro-
vision of quality health care, health promotion, and 
disease prevention services; and 
‘‘(7) ensure that pulpal therapy (not including 
pulpotomies on deciduous teeth) or extraction of 
adult teeth can be performed by a dental health aide 
therapist only after consultation with a licensed den-
tist who determines that the procedure is a medical 
emergency that cannot be resolved with palliative 
treatment, and further that dental health aide thera-
pists are strictly prohibited from performing all 
VerDate Aug 31 2005 
22:10 Mar 11, 2007
Jkt 059200
PO 00000
Frm 00080
Fmt 6652
Sfmt 6201
E:\BILLS\H1328.IH
H1328
ycherry on PROD1PC64 with BILLS