‘‘(ii) stipulate certifications necessary 
to approve internship and field placement 
opportunities at Indian Health Programs; 
‘‘(D) has a qualified staff which has the 
appropriate certifications; 
‘‘(E) is capable of obtaining State or re-
gional accreditation of the program described in 
subsection (a)(1); and 
‘‘(F) agrees to provide for Indian pref-
erence for applicants for programs under this 
section. 
‘‘(c) TECHNICAL ASSISTANCE.—The Secretary shall 
encourage community colleges described in subsection 
(b)(2) to establish and maintain programs described in 
subsection (a)(1) by— 
‘‘(1) entering into agreements with such col-
leges for the provision of qualified personnel of the 
Service to teach courses of study in such programs; 
and 
‘‘(2) providing technical assistance and support 
to such colleges. 
‘‘(d) ADVANCED TRAINING.— 
‘‘(1) REQUIRED.—Any program receiving as-
sistance under this section that is conducted with re-
spect to a health profession shall also offer courses 
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of study which provide advanced training for any 
health professional who— 
‘‘(A) has already received a degree or di-
ploma in such health profession; and 
‘‘(B) provides clinical services on or near a 
reservation or for an Indian Health Program. 
‘‘(2) MAY BE OFFERED AT ALTERNATE SITE.— 
Such courses of study may be offered in conjunction 
with the college or university with which the commu-
nity college has entered into the agreement required 
under subsection (b)(2)(C). 
‘‘(e) PRIORITY.—Where the requirements of sub-
section (b) are met, grant award priority shall be provided 
to tribal colleges and universities in Service Areas where 
they exist. 
‘‘SEC. 119. RETENTION BONUS. 
‘‘(a) BONUS AUTHORIZED.—The Secretary may pay 
a retention bonus to any health professional employed by, 
or assigned to, and serving in, an Indian Health Program 
or urban Indian organization either as a civilian employee 
or as a commissioned officer in the Regular or Reserve 
Corps of the Public Health Service who— 
‘‘(1) is assigned to, and serving in, a position 
for which recruitment or retention of personnel is 
difficult; 
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‘‘(2) the Secretary determines is needed by In-
dian Health Programs and urban Indian organiza-
tions; 
‘‘(3) has— 
‘‘(A) completed 2 years of employment 
with an Indian Health Program or urban In-
dian organization; or 
‘‘(B) completed any service obligations in-
curred as a requirement of— 
‘‘(i) any Federal scholarship program; 
or 
‘‘(ii) any Federal education loan re-
payment program; and 
‘‘(4) enters into an agreement with an Indian 
Health Program or urban Indian organization for 
continued employment for a period of not less than 
1 year. 
‘‘(b) RATES.—The Secretary may establish rates for 
the retention bonus which shall provide for a higher an-
nual rate for multiyear agreements than for single year 
agreements referred to in subsection (a)(4), but in no 
event shall the annual rate be more than $25,000 per 
annum. 
‘‘(c) DEFAULT OF RETENTION AGREEMENT.—Any 
health professional failing to complete the agreed upon 
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term of service, except where such failure is through no 
fault of the individual, shall be obligated to refund to the 
Government the full amount of the retention bonus for the 
period covered by the agreement, plus interest as deter-
mined by the Secretary in accordance with section 
110(l)(2)(B). 
‘‘(d) OTHER RETENTION BONUS.—The Secretary 
may pay a retention bonus to any health professional em-
ployed by a Tribal Health Program if such health profes-
sional is serving in a position which the Secretary deter-
mines is— 
‘‘(1) a position for which recruitment or reten-
tion is difficult; and 
‘‘(2) necessary for providing health care services 
to Indians. 
‘‘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-
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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 technicians), 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 
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-
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