Sec. 3. Pilot program to create or expand graduate medical residencies at facilities operated by Indian tribes, tribal organizations, and the Indian Health Service in rural areas
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The Secretary of Veterans Affairs, in consultation with the Director of the Indian Health Service, shall carry out a pilot program to establish graduate medical education residency training programs at covered facilities. The Secretary shall carry out the pilot program at not more than one covered facility in each of Alaska and Montana that has been selected by the Secretary for purposes of the pilot program. The Secretary shall implement the pilot program during the eight-year period beginning on the date that is 180 days after the date of the enactment of this Act.
The Secretary shall reimburse each covered facility participating in the pilot program for the following costs associated with the pilot program: Curriculum development. Recruitment, training, and retention of residents and faculty. Accreditation of programs of education under the pilot program by the Accreditation Council for Graduate Medical Education (ACGME) or the American Osteopathic Association (AOA). The portion of faculty salaries attributable to activities relating to carrying out the pilot program.
Payment for expenses relating to providing medical education under the pilot program in an amount not to exceed— the amount determined under section 340H of the Public Health Service Act ( 42 U.S.C. 256h ) that would be paid to a covered facility for such expenses if the covered facility were a qualified teaching health center under such section, plus an additional amount to account for the increased costs to the covered facility of providing health care and medical education under the pilot program in rural and remote areas.
The Secretary shall enter into an agreement with each medical resident who participates in the pilot program under which such medical resident agrees to serve a period of two years of obligated service at a covered facility or a facility of the Department of Veterans Affairs for each year in which the medical resident participates in the pilot program under this section. A medical resident who participates in the pilot program and fails to satisfy the period of obligated service under paragraph
(1)shall be liable to the United States, in lieu of such obligated service, for the amount that has been paid or is payable to or on behalf of the medical resident under the pilot program, reduced by the proportion that the number of days served for completion of the period of obligated service bears to the total number of days in the period of obligated service of such medical resident. A medical resident who participates in the pilot program shall be eligible for participation in the Indian Health Service Loan Repayment Program under section 108 of the Indian Health Care Improvement Act ( 25 U.S.C. 1616a ). There is authorized to be appropriated to the Secretary of Health and Human Services, acting through the Indian Health Service, such sums as may be necessary to cover loan repayments paid under the Indian Health Service Loan Repayment Program to medical residents participating in the pilot program. Amounts appropriated or otherwise made available for the Indian Health Service Loan Repayment Program pursuant to the authorization of appropriations under subparagraph
(A)shall supplement, not supplant, amounts made available to such program under other provisions of law. Not later than two years before the termination of the pilot program under subsection (c), the Secretary shall submit to the Committee on Veterans’ Affairs of the Senate and the Committee on Veterans’ Affairs of the House of Representatives a report on the feasibility and advisability of— expanding the pilot program to additional locations; and making the pilot program or any aspect of the pilot program permanent. In this section, the term covered facility means a facility— operated by an Indian tribe or a tribal organization (as those terms are defined in section 4 of the Indian Self-Determination and Education Assistance Act ( 25 U.S.C. 5304 )), or the Indian Health Service, that has an existing reimbursement agreement with the Department of Veterans Affairs under section 405(c) of the Indian Health Care Improvement Act ( 25 U.S.C. 1645(c) ); and located in a rural or remote area, as determined by the Secretary. There is authorized to be appropriated to the Secretary of Veterans Affairs $20,000,000 for each year in which the pilot program is carried out.
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Sec. 3
Pilot program to create or expand graduate medical residencies at facilities operated by Indian tribes, tribal organizations, and the Indian Health Service in rural areas
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