tract forms, and other information available to indi-
viduals desiring to participate in the Loan Repay-
ment Program on a date sufficiently early to ensure 
that such individuals have adequate time to carefully 
review and evaluate such forms and information. 
‘‘(d) PRIORITIES.— 
‘‘(1) LIST.—Consistent with subsection (k), the 
Secretary shall annually— 
‘‘(A) identify the positions in each Indian 
Health Program or Urban Indian Organization 
for which there is a need or a vacancy; and 
‘‘(B) rank those positions in order of pri-
ority. 
‘‘(2) APPROVALS.—Notwithstanding the pri-
ority determined under paragraph (1), the Secretary, 
in determining which applications under the Loan 
Repayment Program to approve (and which con-
tracts to accept), shall— 
‘‘(A) give first priority to applications 
made by individual Indians; and 
‘‘(B) after making determinations on all 
applications submitted by individual Indians as 
required under subparagraph (A), give priority 
to— 
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‘‘(i) individuals recruited through the 
efforts of an Indian Health Program or 
Urban Indian Organization; and 
‘‘(ii) other individuals based on the 
priority rankings under paragraph (1). 
‘‘(e) RECIPIENT CONTRACTS.— 
‘‘(1) CONTRACT REQUIRED.—An individual be-
comes a participant in the Loan Repayment Pro-
gram only upon the Secretary and the individual en-
tering into a written contract described in paragraph 
(2). 
‘‘(2) CONTENTS
OF
CONTRACT.—The written 
contract referred to in this section between the Sec-
retary and an individual shall contain— 
‘‘(A) an agreement under which— 
‘‘(i) subject to subparagraph (C), the 
Secretary agrees— 
‘‘(I) to pay loans on behalf of the 
individual in accordance with the pro-
visions of this section; and 
‘‘(II) to accept (subject to the 
availability of appropriated funds for 
carrying out this section) the indi-
vidual into the Service or place the in-
dividual with a Tribal Health Pro-
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gram or Urban Indian Organization 
as provided in clause (ii)(III); and 
‘‘(ii) subject to subparagraph (C), the 
individual agrees— 
‘‘(I) to accept loan payments on 
behalf of the individual; 
‘‘(II) in the case of an individual 
described in subsection (b)(1)— 
‘‘(aa) to maintain enrollment 
in a course of study or training 
described in subsection (b)(1)(A) 
until the individual completes the 
course of study or training; and 
‘‘(bb) while enrolled in such 
course of study or training, to 
maintain an acceptable level of 
academic standing (as deter-
mined under regulations of the 
Secretary by the educational in-
stitution offering such course of 
study or training); and 
‘‘(III) to serve for a time period 
(hereinafter in this section referred to 
as the ‘period of obligated service’) 
equal to 2 years or such longer period 
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