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‘‘(ii)(I) has been accepted to, or cur-
rently participates in, a graduate medical 
education training program or fellowship 
(or both) to provide health care services 
(as recognized by the Accreditation Council 
for Graduate Medical Education); or 
‘‘(II) has been accepted into, or cur-
rently participates in, a graduate medical 
education program or fellowship (or both) 
to provide health care services that—
‘‘(aa) requires more than 5 years 
of total graduate medical training; 
and 
‘‘(bb) has fewer United States 
medical school graduate applicants 
than the total number of training and 
fellowship positions available in the 
programs specified in subclause (I) of 
this clause. 
‘‘(K) CHILD
OR
ADOLESCENT
MENTAL 
HEALTH
PROFESSIONALS.—An individual who 
is employed as child or adolescent mental health 
professional and is currently providing a major-
ity of their clinical services to children or ado-
lescents.
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‘‘(L) ADDITIONAL
AREAS
OF
NATIONAL 
NEED.—An individual who is employed in an 
area designated by the Secretary under para-
graph (2) and has completed a baccalaureate or 
advanced degree related to such area. 
‘‘(2) DESIGNATION
OF
AREAS
OF
NATIONAL 
NEED.—After consultation with appropriate Federal, 
State, and community-based agencies and organiza-
tions, the Secretary shall designate areas of national 
need. In making such designations, the Secretary 
shall take into account the extent to which—
‘‘(A) the national interest in the area is 
compelling; 
‘‘(B) the area suffers from a critical lack 
of qualified personnel; and 
‘‘(C) other Federal programs support the 
area concerned. 
‘‘(d) QUALIFIED LOAN AMOUNT.—Subject to sub-
section (b)(2), the Secretary shall repay not more than 
$5,000 in the aggregate of the loan obligation on a loan 
made under section 428 or 428H that is outstanding after 
the completion of the fifth consecutive school, academic, 
or calendar year, as appropriate, described in subsection 
(b)(1).
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‘‘(e) CONSTRUCTION.—Nothing in this section shall 
be construed to authorize the refunding of any repayment 
of a loan made under section 428 or 428H. 
‘‘(f) INELIGIBILITY OF NATIONAL SERVICE AWARD 
RECIPIENTS.—No student borrower may, for the same 
service, receive a benefit under both this section and sub-
title D of title I of the National and Community Service 
Act of 1990 (42 U.S.C. 12601 et seq.). 
‘‘(g) INELIGIBILITY FOR DOUBLE BENEFITS.—No 
borrower may receive a reduction of loan obligations under 
both this section and section 428J or 460. 
‘‘(h) DEFINITIONS.—In this section 
‘‘(1) CHILD CARE FACILITY.—The term ‘child 
care facility’ means a facility, including a home, 
that—
‘‘(A) provides for the education and care of 
children from birth through age 5; and 
‘‘(B) meets any applicable State or local 
government licensing, certification, approval, or 
registration requirements. 
‘‘(2) CRITICAL FOREIGN LANGUAGE.—The term 
‘critical foreign language’ includes the languages of 
Arabic, Korean, Japanese, Chinese, Pashto, Persian-
Farsi, Serbian-Croatian, Russian, Portuguese, and 
any other language identified by the Secretary of
210
Education, in consultation with the Defense Lan-
guage Institute, the Foreign Service Institute, and 
the National Security Education Program, as a crit-
ical foreign language need. 
‘‘(3) 
EARLY
CHILDHOOD
EDUCATOR.—The 
term ‘early childhood educator’ means an early 
childhood educator employed in an eligible preschool 
program who has completed a baccalaureate or ad-
vanced degree in early childhood development, early 
childhood education, or in a field related to early 
childhood education. 
‘‘(4) ELIGIBLE
PRESCHOOL
PROGRAM.—The 
term ‘eligible preschool program’ means a program 
that provides for the care, development, and edu-
cation of infants, toddlers, or young children 
through age 5, meets any applicable State or local 
government licensing, certification, approval, and 
registration requirements, and is operated by—
‘‘(A) a public or private school that may be 
supported, sponsored, supervised, or adminis-
tered by a local educational agency; 
‘‘(B) a Head Start agency serving as a 
grantee designated under the Head Start Act 
(42 U.S.C. 9831 et seq.);