‘‘(8) The measures the Secretary plans to take to 
fill the health professional positions maintained by 
Indian Health Programs or Urban Indian Organiza-
tions for which recruitment or retention is difficult. 
‘‘SEC. 111. SCHOLARSHIP AND LOAN REPAYMENT RECOV-
ERY FUND. 
‘‘(a) ESTABLISHMENT.—There is established in the 
Treasury of the United States a fund to be known as the 
Indian Health Scholarship and Loan Repayment Recovery 
Fund (hereafter in this section referred to as the ‘LRRF’). 
The LRRF shall consist of such amounts as may be collected 
from individuals under section 104(d), section 106(e), and 
section 110(l) for breach of contract, such funds as may be 
appropriated to the LRRF, and interest earned on amounts 
in the LRRF. All amounts collected, appropriated, or 
earned relative to the LRRF shall remain available until 
expended. 
‘‘(b) USE OF FUNDS.— 
‘‘(1) BY
SECRETARY.—Amounts in the LRRF 
may be expended by the Secretary, acting through the 
Service, to make payments to an Indian Health Pro-
gram— 
‘‘(A) to which a scholarship recipient under 
section 104 and 106 or a loan repayment pro-
gram participant under section 110 has been as-
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signed to meet the obligated service requirements 
pursuant to such sections; and 
‘‘(B) that has a need for a health profes-
sional to provide health care services as a result 
of such recipient or participant having breached 
the contract entered into under section 104, 106, 
or section 110. 
‘‘(2) BY TRIBAL HEALTH PROGRAMS.—A Tribal 
Health Program receiving payments pursuant to 
paragraph (1) may expend the payments to provide 
scholarships or recruit and employ, directly or by 
contract, health professionals to provide health care 
services. 
‘‘(c) INVESTMENT OF FUNDS.—The Secretary of the 
Treasury shall invest such amounts of the LRRF as the Sec-
retary of Health and Human Services determines are not 
required to meet current withdrawals from the LRRF. Such 
investments may be made only in interest bearing obliga-
tions of the United States. For such purpose, such obliga-
tions may be acquired on original issue at the issue price, 
or by purchase of outstanding obligations at the market 
price. 
‘‘(d) SALE OF OBLIGATIONS.—Any obligation acquired 
by the LRRF may be sold by the Secretary of the Treasury 
at the market price. 
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‘‘SEC. 112. RECRUITMENT ACTIVITIES. 
‘‘(a) REIMBURSEMENT FOR TRAVEL.—The Secretary, 
acting through the Service, may reimburse health profes-
sionals seeking positions with Indian Health Programs or 
Urban Indian Organizations, including individuals consid-
ering entering into a contract under section 110 and their 
spouses, for actual and reasonable expenses incurred in 
traveling to and from their places of residence to an area 
in which they may be assigned for the purpose of evaluating 
such area with respect to such assignment. 
‘‘(b) RECRUITMENT PERSONNEL.—The Secretary, act-
ing through the Service, shall assign 1 individual in each 
Area Office to be responsible on a full-time basis for recruit-
ment activities. 
‘‘SEC. 113. INDIAN RECRUITMENT AND RETENTION PRO-
GRAM. 
‘‘(a) IN GENERAL.—The Secretary, acting through the 
Service, shall fund, on a competitive basis, innovative dem-
onstration projects for a period not to exceed 3 years to 
enable Tribal Health Programs and Urban Indian Organi-
zations to recruit, place, and retain health professionals to 
meet their staffing needs. 
‘‘(b) ELIGIBLE ENTITIES; APPLICATION.—Any Tribal 
Health Program or Urban Indian Organization may sub-
mit an application for funding of a project pursuant to 
this section. 
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‘‘SEC. 114. ADVANCED TRAINING AND RESEARCH. 
‘‘(a) DEMONSTRATION PROGRAM.—The Secretary, act-
ing through the Service, shall establish a demonstration 
project to enable health professionals who have worked in 
an Indian Health Program or Urban Indian Organization 
for a substantial period of time to pursue advanced train-
ing or research areas of study for which the Secretary deter-
mines a need exists. 
‘‘(b) SERVICE OBLIGATION.—An individual who par-
ticipates in a program under subsection (a), where the edu-
cational costs are borne by the Service, shall incur an obli-
gation to serve in an Indian Health Program or Urban 
Indian Organization for a period of obligated service equal 
to at least the period of time during which the individual 
participates in such program. In the event that the indi-
vidual fails to complete such obligated service, the indi-
vidual shall be liable to the United States for the period 
of service remaining. In such event, with respect to individ-
uals entering the program after the date of enactment of 
the Indian Health Care Improvement Act Amendments of 
2007, the United States shall be entitled to recover from 
such individual an amount to be determined in accordance 
with the formula specified in subsection (l) of section 110 
in the manner provided for in such subsection. 
‘‘(c) EQUAL OPPORTUNITY
FOR PARTICIPATION.— 
Health professionals from Tribal Health Programs and 
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Urban Indian Organizations shall be given an equal oppor-
tunity to participate in the program under subsection (a). 
‘‘SEC. 115. QUENTIN N. BURDICK AMERICAN INDIANS INTO 
NURSING PROGRAM. 
‘‘(a) GRANTS AUTHORIZED.—For the purpose of in-
creasing the number of nurses, nurse midwives, and nurse 
practitioners who deliver health care services to Indians, 
the Secretary, acting through the Service, shall provide 
grants to the following: 
‘‘(1) Public or private schools of nursing. 
‘‘(2) Tribal colleges or universities. 
‘‘(3) Nurse midwife programs and advanced 
practice nurse programs that are provided by any 
tribal college or university accredited nursing pro-
gram, or in the absence of such, any other public or 
private institutions. 
‘‘(b) USE OF GRANTS.—Grants provided under sub-
section (a) may be used for 1 or more of the following: 
‘‘(1) To recruit individuals for programs which 
train individuals to be nurses, nurse midwives, or ad-
vanced practice nurses. 
‘‘(2) To provide scholarships to Indians enrolled 
in such programs that may pay the tuition charged 
for such program and other expenses incurred in con-
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nection with such program, including books, fees, 
room and board, and stipends for living expenses. 
‘‘(3) To provide a program that encourages 
nurses, nurse midwives, and advanced practice nurses 
to provide, or continue to provide, health care services 
to Indians. 
‘‘(4) To provide a program that increases the 
skills of, and provides continuing education to, 
nurses, nurse midwives, and advanced practice 
nurses. 
‘‘(5) To provide any program that is designed to 
achieve the purpose described in subsection (a). 
‘‘(c) APPLICATIONS.—Each application for a grant 
under subsection (a) shall include such information as the 
Secretary may require to establish the connection between 
the program of the applicant and a health care facility that 
primarily serves Indians. 
‘‘(d) PREFERENCES FOR GRANT RECIPIENTS.—In pro-
viding grants under subsection (a), the Secretary shall ex-
tend a preference to the following: 
‘‘(1) Programs that provide a preference to Indi-
ans. 
‘‘(2) Programs that train nurse midwives or ad-
vanced practice nurses. 
‘‘(3) Programs that are interdisciplinary. 
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‘‘(4) Programs that are conducted in cooperation 
with a program for gifted and talented Indian stu-
dents. 
‘‘(5) Programs conducted by tribal colleges and 
universities. 
‘‘(e) QUENTIN N. BURDICK PROGRAM GRANT.—The 
Secretary shall provide 1 of the grants authorized under 
subsection (a) to establish and maintain a program at the 
University of North Dakota to be known as the ‘Quentin 
N. Burdick American Indians Into Nursing Program’. 
Such program shall, to the maximum extent feasible, coordi-
nate with the Quentin N. Burdick Indian Health Programs 
established under section 117(b) and the Quentin N. Bur-
dick American Indians Into Psychology Program estab-
lished under section 105(b). 
‘‘(f) ACTIVE DUTY SERVICE OBLIGATION.—The active 
duty service obligation prescribed under section 338C of the 
Public Health Service Act (42 U.S.C. 254m) shall be met 
by each individual who receives training or assistance de-
scribed in paragraph (1) or (2) of subsection (b) that is 
funded by a grant provided under subsection (a). Such obli-
gation shall be met by service— 
‘‘(1) in the Service; 
‘‘(2) in a program of an Indian Tribe or Tribal 
Organization conducted under the Indian Self-Deter-
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mination and Education Assistance Act (25 U.S.C. 
450 et seq.) (including programs under agreements 
with the Bureau of Indian Affairs); 
‘‘(3) in a program assisted under title V of this 
Act; 
‘‘(4) in the private practice of nursing if, as de-
termined by the Secretary, in accordance with guide-
lines promulgated by the Secretary, such practice is 
situated in a physician or other health shortage area 
and addresses the health care needs of a substantial 
number of Indians; or 
‘‘(5) in a teaching capacity in a tribal college or 
university nursing program (or a related health pro-
fession program) if, as determined by the Secretary, 
health services provided to Indians would not de-
crease. 
‘‘SEC. 116. TRIBAL CULTURAL ORIENTATION. 
‘‘(a) CULTURAL EDUCATION
OF EMPLOYEES.—The 
Secretary, acting through the Service, shall require that ap-
propriate employees of the Service who serve Indian Tribes 
in each Service Area receive educational instruction in the 
history and culture of such Indian Tribes and their rela-
tionship to the Service. 
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‘‘(b) PROGRAM.—In carrying out subsection (a), the 
Secretary shall establish a program which shall, to the ex-
tent feasible— 
‘‘(1) be developed in consultation with the af-
fected Indian Tribes, Tribal Organizations, and 
Urban Indian Organizations; 
‘‘(2) be carried out through tribal colleges or uni-
versities; 
‘‘(3) include instruction in American Indian 
studies; and 
‘‘(4) describe the use and place of traditional 
health care practices of the Indian Tribes in the Serv-
ice Area. 
‘‘SEC. 117. INMED PROGRAM. 
‘‘(a) GRANTS AUTHORIZED.—The Secretary, acting 
through the Service, is authorized to provide grants to col-
leges and universities for the purpose of maintaining and 
expanding the Indian health careers recruitment program 
known as the ‘Indians Into Medicine Program’ (hereinafter 
in this section referred to as ‘INMED’) as a means of en-
couraging Indians to enter the health professions. 
‘‘(b) QUENTIN N. BURDICK GRANT.—The Secretary 
shall provide 1 of the grants authorized under subsection 
(a) to maintain the INMED program at the University of 
North Dakota, to be known as the ‘Quentin N. Burdick In-
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dian Health Programs’, unless the Secretary makes a deter-
mination, based upon program reviews, that the program 
is not meeting the purposes of this section. Such program 
shall, to the maximum extent feasible, coordinate with the 
Quentin N. Burdick American Indians Into Psychology 
Program established under section 105(b) and the Quentin 
N. Burdick American Indians Into Nursing Program estab-
lished under section 115. 
‘‘(c) REGULATIONS.—The Secretary, pursuant to this 
Act, shall develop regulations to govern grants pursuant to 
this section. 
‘‘(d) REQUIREMENTS.—Applicants for grants provided 
under this section shall agree to provide a program which— 
‘‘(1) provides outreach and recruitment for 
health professions to Indian communities including 
elementary and secondary schools and community col-
leges located on reservations which will be served by 
the program; 
‘‘(2) incorporates a program advisory board 
comprised of representatives from the Indian Tribes 
and Indian communities which will be served by the 
program; 
‘‘(3) provides summer preparatory programs for 
Indian students who need enrichment in the subjects 
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of math and science in order to pursue training in 
the health professions; 
‘‘(4) provides tutoring, counseling, and support 
to students who are enrolled in a health career pro-
gram of study at the respective college or university; 
and 
‘‘(5) to the maximum extent feasible, employs 
qualified Indians in the program. 
‘‘SEC. 118. HEALTH TRAINING PROGRAMS OF COMMUNITY 
COLLEGES. 
‘‘(a) GRANTS TO ESTABLISH PROGRAMS.— 
‘‘(1) 
IN
GENERAL.—The 
Secretary, 
acting 
through the Service, shall award grants to accredited 
and accessible community colleges for the purpose of 
assisting such community colleges in the establish-
ment of programs which provide education in a 
health profession leading to a degree or diploma in a 
health profession for individuals who desire to prac-
tice such profession on or near a reservation or in an 
Indian Health Program. 
‘‘(2) AMOUNT OF GRANTS.—The amount of any 
grant awarded to a community college under para-
graph (1) for the first year in which such a grant is 
provided to the community college shall not exceed 
$250,000. 
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‘‘(b) GRANTS FOR MAINTENANCE AND RECRUITING.— 
‘‘(1) 
IN
GENERAL.—The 
Secretary, 
acting 
through the Service, shall award grants to accredited 
and accessible community colleges that have estab-
lished a program described in subsection (a)(1) for the 
purpose of maintaining the program and recruiting 
students for the program. 
‘‘(2) REQUIREMENTS.—Grants may only be 
made under this section to a community college 
which— 
‘‘(A) is accredited; 
‘‘(B) has a relationship with a hospital fa-
cility, Service facility, or hospital that could 
provide training of nurses or health profes-
sionals; 
‘‘(C) has entered into an agreement with an 
accredited college or university medical school, 
the terms of which— 
‘‘(i) provide a program that enhances 
the transition and recruitment of students 
into advanced baccalaureate or graduate 
programs that train health professionals; 
and 
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‘‘(ii) stipulate certifications necessary 
to approve internship and field placement 
opportunities at Indian Health Programs; 
‘‘(D) has a qualified staff which has the ap-
propriate 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 preference 
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 colleges 
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 assist-
ance under this section that is conducted with respect 
to a health profession shall also offer courses of study 
which provide advanced training for any health pro-
fessional who— 
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‘‘(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 subsection 
(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 em-
ployee or as a commissioned officer in the Regular or Re-
serve Corps of the Public Health Service who— 
‘‘(1) is assigned to, and serving in, a position for 
which recruitment or retention of personnel is dif-
ficult; 
‘‘(2) the Secretary determines is needed by In-
dian Health Programs and Urban Indian Organiza-
tions; 
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261 
constructed or purchased at a location within the 
area described in paragraph (1) agreed upon (by ap-
propriate tribal resolution) by a majority of the In-
dian Tribes to be served by such center. 
‘‘(4) SPECIFIC PROVISION OF FUNDS.— 
‘‘(A) IN
GENERAL.—Notwithstanding any 
other provision of this title, the Secretary may, 
from amounts authorized to be appropriated for 
the purposes of carrying out this section, make 
funds available to— 
‘‘(i) the Tanana Chiefs Conference, In-
corporated, for the purpose of leasing, con-
structing, renovating, operating, and main-
taining a residential youth treatment facil-
ity in Fairbanks, Alaska; and 
‘‘(ii) the Southeast Alaska Regional 
Health Corporation to staff and operate a 
residential youth treatment facility without 
regard to the proviso set forth in section 4(l) 
of the Indian Self-Determination and Edu-
cation Assistance Act (25 U.S.C. 450b(l)). 
‘‘(B) PROVISION OF SERVICES TO ELIGIBLE 
YOUTHS.—Until additional residential youth 
treatment facilities are established in Alaska 
pursuant to this section, the facilities specified 
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