Sec. 5. Incentives for recruitment and retention
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Title VI of the Indian Health Care Improvement Act ( 25 U.S.C. 1661 et seq. ) (as amended by section 4(a)) is amended by adding at the end the following: Notwithstanding any other provision of law, the Secretary may grant or rescind bonuses or other benefits to employees of the Service— to promote patient safety; to promote quality of performance of the employees; or to improve recruitment and retention of employees in the Service. The Secretary may grant a bonus under paragraph
(1)to a manager or supervisor in the Service who identifies one or more ways— to improve patient care; or to reduce waste, fraud, or abuse. The Secretary shall establish a pay system for physicians, dentists, nurses, and other health care professionals employed by the Service that provides pay that, to the maximum extent practicable, is comparable to the pay provided to physicians, dentists, nurses, and other health care professionals under chapter 74 of title 38, United States Code. The Secretary may provide to an employee of the Service the costs the employee incurs in the relocation of the employee if, as determined by the Secretary— the employee relocates to a Service area experiencing a high level of need for employees; and the employee will accept a position that is likely to be difficult to fill in the absence of an incentive. To improve retention of employees in the Service, the Secretary may provide to an employee of the Service a bonus based on the performance of the employee. The Secretary shall carry out subsections
(a)through
(d)in accordance with guidelines of the Office of Personnel Management for recruitment and retention, including section 575.109 of title 5, Code of Federal Regulations (as in effect on the date of enactment of this Act). The Secretary may only provide a bonus, pay increase, relocation cost, or other benefit under subsections
(a)through
(d)to an employee who agrees to serve for not less than 1 year in the Service. Subject to paragraph (2), not later than 1 year after the date of enactment of this section, the Secretary may establish a program to provide tenant-based rental assistance to an employee of the Service who— agrees to serve for not less than 1 year at a Service facility designated by the Administrator of the Health Resources and Services Administration as a health professional shortage area; and is a critical employee, as determined by the Secretary. Any program established by the Secretary under paragraph
(1)shall terminate on the date that is 3 years after the date on which the program is established. . Not later than 1 year after the date of enactment of this Act, the Comptroller General of the United States shall submit to Congress a report identifying professional housing needs for employees of the Indian Health Service. The report described in paragraph
(1)shall include— an evaluation of any existing assessments and projections for the professional housing needs of employees of the Indian Health Service; an accurate and independent assessment of the professional housing needs of employees of the Indian Health Service for each Service area (as defined in section 4 of the Indian Health Care Improvement Act ( 25 U.S.C. 1603 )); a discussion and conclusion on whether the assessments and projections described in subparagraph
(A)accurately reflect the professional housing needs of employees of the Indian Health Service described in subparagraph (B); and recommendations for establishing appropriate means for the Indian Health Service to accurately assess professional housing needs in the future. Not later than 1 year after the date on which the Comptroller General of the United States submits the report under subsection (b), the Secretary shall submit to Congress a written plan to address the professional housing needs of the Indian Health Service based on the recommendations described in paragraph (2)(D) of that subsection.
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