‘‘(20) The term ‘Service Unit’ means an admin-
istrative entity of the Service, or a Tribal Health Pro-
gram through which services are provided, directly or 
by contract, to eligible Indians within a defined geo-
graphic area. 
‘‘(21) The term ‘telehealth’ has the meaning 
given the term in section 330K(a) of the Public 
Health Service Act (42 U.S.C. 254c–16(a)). 
‘‘(22) The term ‘telemedicine’ means a tele-
communications link to an end user through the use 
of eligible equipment that electronically links health 
professionals or patients and health professionals at 
separate sites in order to exchange health care infor-
mation in audio, video, graphic, or other format for 
the purpose of providing improved health care serv-
ices. 
‘‘(23) The term ‘tribal college or university’ has 
the meaning given the term in section 316(b)(3) of the 
Higher Education Act (20 U.S.C. 1059c(b)(3)). 
‘‘(24) The term ‘Tribal Health Program’ means 
an Indian Tribe or Tribal Organization that operates 
any health program, service, function, activity, or fa-
cility funded, in whole or part, by the Service 
through, or provided for in, a contract or compact 
VerDate Aug 31 2005 
00:07 Jun 07, 2008
Jkt 069200
PO 00000
Frm 00017
Fmt 6652
Sfmt 6203
E:\BILLS\H1328.RH
H1328
jbell on PROD1PC69 with BILLS
with the Service under the Indian Self-Determination 
and Education Assistance Act (25 U.S.C. 450 et seq.). 
‘‘(25) The term ‘Tribal Organization’ has the 
meaning given the term in the Indian Self-Deter-
mination and Education Assistance Act (25 U.S.C. 
450 et seq.). 
‘‘(26) The term ‘Urban Center’ means any com-
munity which has a sufficient Urban Indian popu-
lation with unmet health needs to warrant assistance 
under title V of this Act, as determined by the Sec-
retary. 
‘‘(27) The term ‘Urban Indian’ means any indi-
vidual who resides in an Urban Center and who 
meets 1 or more of the following criteria: 
‘‘(A) Irrespective of whether the individual 
lives on or near a reservation, the individual is 
a member of a tribe, band, or other organized 
group of Indians, including those tribes, bands, 
or groups terminated since 1940 and those tribes, 
bands, or groups that are recognized by the 
States in which they reside, or who is a descend-
ant in the first or second degree of any such 
member. 
‘‘(B) The individual is an Eskimo, Aleut, or 
other Alaska Native. 
VerDate Aug 31 2005 
00:07 Jun 07, 2008
Jkt 069200
PO 00000
Frm 00018
Fmt 6652
Sfmt 6203
E:\BILLS\H1328.RH
H1328
jbell on PROD1PC69 with BILLS
‘‘(C) The individual is considered by the 
Secretary of the Interior to be an Indian for any 
purpose. 
‘‘(D) The individual is determined to be an 
Indian under regulations promulgated by the 
Secretary. 
‘‘(28) The term ‘Urban Indian Organization’ 
means a nonprofit corporate body that (A) is situated 
in an Urban Center; (B) is governed by an Urban In-
dian-controlled board of directors; (C) provides for the 
participation of all interested Indian groups and in-
dividuals; and (D) is capable of legally cooperating 
with other public and private entities for the purpose 
of performing the activities described in section 
503(a). 
‘‘TITLE 
I—INDIAN 
HEALTH, 
HUMAN RESOURCES, AND DE-
VELOPMENT 
‘‘SEC. 101. PURPOSE. 
‘‘The purpose of this title is to increase, to the max-
imum extent feasible, the number of Indians entering the 
health professions and providing health services, and to as-
sure an optimum supply of health professionals to the In-
dian Health Programs and Urban Indian Organizations 
involved in the provision of health services to Indians. 
VerDate Aug 31 2005 
00:07 Jun 07, 2008
Jkt 069200
PO 00000
Frm 00019
Fmt 6652
Sfmt 6203
E:\BILLS\H1328.RH
H1328
jbell on PROD1PC69 with BILLS
‘‘SEC. 102. HEALTH PROFESSIONS RECRUITMENT PROGRAM 
FOR INDIANS. 
‘‘(a) IN GENERAL.—The Secretary, acting through the 
Service, shall make grants to public or nonprofit private 
health or educational entities, Tribal Health Programs, or 
Urban Indian Organizations to assist such entities in meet-
ing the costs of— 
‘‘(1) identifying Indians with a potential for 
education or training in the health professions and 
encouraging and assisting them— 
‘‘(A) to enroll in courses of study in such 
health professions; or 
‘‘(B) if they are not qualified to enroll in 
any such courses of study, to undertake such 
postsecondary education or training as may be 
required to qualify them for enrollment; 
‘‘(2) publicizing existing sources of financial aid 
available to Indians enrolled in any course of study 
referred to in paragraph (1) or who are undertaking 
training necessary to qualify them to enroll in any 
such course of study; or 
‘‘(3) establishing other programs which the Sec-
retary determines will enhance and facilitate the en-
rollment of Indians in, and the subsequent pursuit 
and completion by them of, courses of study referred 
to in paragraph (1). 
VerDate Aug 31 2005 
00:07 Jun 07, 2008
Jkt 069200
PO 00000
Frm 00020
Fmt 6652
Sfmt 6203
E:\BILLS\H1328.RH
H1328
jbell on PROD1PC69 with BILLS
‘‘(b) GRANTS.— 
‘‘(1) APPLICATION.—The Secretary shall not 
make a grant under this section unless an application 
has been submitted to, and approved by, the Sec-
retary. Such application shall be in such form, sub-
mitted in such manner, and contain such informa-
tion, as the Secretary shall by regulation prescribe 
pursuant to this Act. The Secretary shall give a pref-
erence to applications submitted by Tribal Health 
Programs or Urban Indian Organizations. 
‘‘(2) 
AMOUNT
OF
GRANTS; 
PAYMENT.—The 
amount of a grant under this section shall be deter-
mined by the Secretary. Payments pursuant to this 
section may be made in advance or by way of reim-
bursement, and at such intervals and on such condi-
tions as provided for in regulations issued pursuant 
to this Act. To the extent not otherwise prohibited by 
law, grants shall be for 3 years, as provided in regu-
lations issued pursuant to this Act. 
‘‘SEC. 103. HEALTH PROFESSIONS PREPARATORY SCHOLAR-
SHIP PROGRAM FOR INDIANS. 
‘‘(a) SCHOLARSHIPS AUTHORIZED.—The Secretary, 
acting through the Service, shall provide scholarship grants 
to Indians who— 
VerDate Aug 31 2005 
00:07 Jun 07, 2008
Jkt 069200
PO 00000
Frm 00021
Fmt 6652
Sfmt 6203
E:\BILLS\H1328.RH
H1328
jbell on PROD1PC69 with BILLS