H. Res. 544
In the House of Representatives, U.S.,
September 27, 1996.
Resolved, That upon adoption of this resolution the
bill (H.R. 3378) to amend the Indian Health Care Im-
provement Act to extend the demonstration program for
direct billing of Medicare, Medicaid, and other third party
payors, with the Senate amendment thereto, shall be con-
sidered to have been taken from the Speaker’s table to
the end that the Senate amendment thereto be, and the
same is hereby, agreed to with an amendment as follows:
In lieu of the matter proposed to be inserted by the
Senate to the text of the bill, insert the following:
SECTION 1. SHORT TITLE; REFERENCE.
(a) SHORT TITLE.—This Act may be cited as the
‘‘Indian Health Care Improvement Technical Corrections
Act of 1996’’.
(b) REFERENCES.—Whenever in this Act an amend-
ment or repeal is expressed in terms of an amendment
to or repeal of a section or other provision, the reference
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shall be considered to be made to a section or other provi-
sion of the Indian Health Care Improvement Act.
SEC. 2. TECHNICAL CORRECTIONS IN THE INDIAN HEALTH
CARE IMPROVEMENT ACT.
(a) DEFINITION OF HEALTH PROFESSION.—Section
4(n) (25 U.S.C. 1603(n)) is amended—
(1) by inserting ‘‘allopathic medicine,’’ before
‘‘family medicine’’; and
(2) by striking ‘‘and allied health professions’’
and inserting ‘‘an allied health profession, or any
other health profession’’.
(b) 
INDIAN
HEALTH
PROFESSIONS
SCHOLAR-
SHIPS.—Section 104(b) of the Indian Health Care Im-
provement Act (25 U.S.C. 1613a(b)) is amended—
(1) in paragraph (3)—
(A) in subparagraph (A)—
(i) by striking the matter preceding
clause (i) and inserting the following:
‘‘(3)(A) The active duty service obligation under a
written contract with the Secretary under section 338A
of the Public Health Service Act (42 U.S.C. 254l) that
an individual has entered into under that section shall,
if that individual is a recipient of an Indian Health Schol-
arship, be met in full-time practice, by service—’’;
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(ii) by striking ‘‘or’’ at the end of
clause (iii); and
(iii) by striking the period at the end
of clause (iv) and inserting ‘‘; or’’;
(B) by redesignating subparagraphs (B)
and (C) as subparagraphs (C) and (D), respec-
tively;
(C) by inserting after subparagraph (A)
the following new subparagraph:
‘‘(B) At the request of any individual who has entered
into a contract referred to in subparagraph (A) and who
receives a 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, resi-
dency, or other advanced clinical training that is required
for the practice of that health profession, for an appro-
priate 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 satis-
fying any period of obligated service that is required
under this section.
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‘‘(ii) The active duty service obligation of that
individual shall commence not later than 90 days
after the completion of that advanced clinical train-
ing (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 redesig-
nated, 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 subparagraph (A) by service in a program
specified in that subparagraph’’; and
(E) in subparagraph (D), as so redesig-
nated—
(i) by striking ‘‘Subject to subpara-
graph (B),’’ and inserting ‘‘Subject to sub-
paragraph (C),’’; and
(ii) by striking ‘‘prescribed under sec-
tion 338C of the Public Health Service Act
(42 U.S.C. 254m)’’ and inserting ‘‘de-
scribed in subparagraph (A)’’;
(2) in paragraph (4)—
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‘‘(iii) the enforcement of the requirement to
meet the obligation 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.
‘‘(F) Notwithstanding any other provision of law,
with respect to a recipient of an Indian Health Scholar-
ship, no obligation for payment may be released by a dis-
charge 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 uncon-
scionable.’’.
(c) CALIFORNIA CONTRACT HEALTH SERVICES DEM-
ONSTRATION
PROGRAM.—Section 211(g) (25 U.S.C.
1621j(g)) is amended by striking ‘‘1993, 1994, 1995,
1996, and 1997’’ and inserting ‘‘1996 through 2000’’.
(d) EXTENSION OF CERTAIN DEMONSTRATION PRO-
GRAM.—Section 405(c)(2) (25 U.S.C. 1645(c)(2)) is
amended by striking ‘‘September 30, 1996’’ and inserting
‘‘September 30, 1998’’.
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(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 striking ‘‘1993, 1994, 1995,
1996, and 1997’’ and inserting ‘‘1996 through 2000’’.
(g) HOME
AND COMMUNITY-BASED CARE DEM-
ONSTRATION
PROGRAM.—Section 821(i) (25 U.S.C.
1680k(i)) is amended by striking ‘‘1993, 1994, 1995,
1996, and 1997’’ and inserting ‘‘1996 through 2000’’.
Attest:
Clerk.