Sec. 303. Establishing the Department of Veterans Affairs Specialty Education Loan Repayment Program
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Chapter 76 of title 38, United States Code, is amended by inserting after subchapter VII the following new subchapter: As part of the Educational Assistance Program, the Secretary may carry out a student loan repayment program under section 5379 of title 5. The program shall be known as the Department of Veterans Affairs Specialty Education Loan Repayment Program (in this chapter referred to as the Specialty Education Loan Repayment Program ). The purpose of the Specialty Education Loan Repayment Program is to assist, through the establishment of an incentive program for certain individuals employed in the Veterans Health Administration, in meeting the staffing needs of the Veterans Health Administration for physicians in medical specialties for which the Secretary determines recruitment or retention of qualified personnel is difficult.
An individual is eligible to participate in the Specialty Education Loan Repayment Program if the individual— is hired under section 7401 of this title to work in an occupation described in section 7692 of this title; owes any amount of principal or interest under a loan, the proceeds of which were used by or on behalf of that individual to pay costs relating to a course of education or training which led to a degree that qualified the individual for the position referred to in paragraph (1); and is— recently graduated from an accredited medical or osteopathic school and matched to an accredited residency program in a medical specialty described in section 7692 of this title; or a physician in training in a medical specialty described in section 7692 of this title with more than two years remaining in such training.
In selecting individuals for participation in the Specialty Education Loan Repayment Program under this subchapter, the Secretary may give preference to the following: Individuals who are, or will be, participating in residency programs in health care facilities— located in rural areas; operated by Indian tribes, tribal organizations, or the Indian Health Service; or affiliated with underserved health care facilities of the Department. Veterans. For purposes of subsection (a)(2), costs relating to a course of education or training include— tuition expenses; all other reasonable educational expenses, including expenses for fees, books, equipment, and laboratory expenses; and reasonable living expenses.
Payments under the Specialty Education Loan Repayment Program shall consist of payments for the principal and interest on loans described in section 7682(a)(2) of this title for individuals selected to participate in the Program to the holders of such loans. The Secretary shall make payments for any given participant in the Specialty Education Loan Repayment Program on a schedule determined appropriate by the Secretary. The amount of payments made for a participant under the Specialty Education Loan Repayment Program may not exceed $160,000 over a total of four years of participation in the Program, of which not more than $40,000 of such payments may be made in each year of participation in the Program.
The Secretary may waive the limitations under paragraph
(1)in the case of a participant described in subparagraph (B). In the case of such a waiver, the total amount of payments payable to or for that participant is the total amount of the principal and the interest on the participant's loans referred to in subsection (a). A participant described in this subparagraph is a participant in the Program who the Secretary determines serves in a position for which there is a shortage of qualified employees by reason of either the location or the requirements of the position. Each participant in the Specialty Education Loan Repayment Program who completes residency may select, from a list of medical facilities of the Veterans Health Administration provided by the Secretary, at which such facility the participant will work in a medical specialty described in section 7692 of this title. In addition to any requirements under section 5379(c) of title 5, a participant in the Specialty Education Loan Repayment Program must agree, in writing and before the Secretary may make any payment to or for the participant, to— obtain a license to practice medicine in a State; successfully complete post-graduate training leading to eligibility for board certification in a specialty; serve as a full-time clinical practice employee of the Veterans Health Administration for 12 months for every $40,000 in such benefits that the employee receives, but in no case for fewer than 24 months; and except as provided in subsection (b), to begin such service as a full-time practice employee by not later than 60 days after completing a residency. In the case of a participant who receives an accredited fellowship in a medical specialty other than a medical specialty described in section 7692 of this title, the Secretary, on written request of the participant, may delay the term of obligated service under subsection
(a)for the participant until after the participant completes the fellowship, but in no case later than 60 days after completion of such fellowship. An employee who does not complete a period of obligated service under this section shall owe the Federal Government an amount determined in accordance with the following formula: A = B × ((T − S) ÷ T)) . In the formula in paragraph (1): is the amount the employee owes the Federal Government. A is the sum of all payments to or for the participant under the Specialty Education Loan Repayment Program. B is the number of months in the period of obligated service of the employee. T is the number of whole months of such period of obligated service served by the employee. S Assistance under the Specialty Education Loan Repayment Program may be in addition to other assistance available to individuals under the Educational Assistance Program. . Section 7601(a) of title 38, United States Code, is amended— in paragraph (4), by striking and ; in paragraph (5), by striking the period and inserting ; and ; and by adding at the end the following new paragraph: the specialty education loan repayment program provided for in subchapter VIII of this chapter. . Section 7603(a)(1) of title 38, United States Code, is amended by striking or VI and inserting VI, or VIII . Section 7604 of title 38, United States Code, is amended by striking or VI each place it appears and inserting VI, or VIII . Section 7631 of title 38, United States Code, is amended— in subsection (a)(1)— by striking and after scholarship amount ; and by inserting , and the maximum specialty education loan repayment amount after reduction payments amount ; and in subsection
(b)by adding at the end the following new paragraph: The term specialty education loan repayment amount means the maximum amount of specialty education loan repayment payments payable to or for a participant in the Department of Veterans Affairs Specialty Education Loan Repayment Program under subchapter VIII of this chapter, as specified in section 7694(c)(1) of this title and as previously adjusted (if at all) in accordance with this section. . Section 7632 of title 38, United States Code, is amended— in paragraph (1), by striking and the Education Debt Reduction Program and inserting the Education Debt Reduction Program, and the Specialty Education Loan Repayment Program ; and in paragraph (4), by striking and per participant in the Education Debt Reduction Program and inserting per participant in the Education Debt Reduction Program, and per participant in the Specialty Education Loan Repayment Program . The table of sections at the beginning of chapter 76 of such title is amended by inserting after the items relating to subchapter VII the following: Subchapter VIII—Specialty Education Loan Repayment Program Sec. 7691. Establishment. 7692. Purpose. 7693. Eligibility; preferences; covered costs. 7694. Specialty education loan repayment. 7695. Choice of location. 7696. Term of obligated service. 7697. Relationship to Educational Assistance Program. . In making determinations each year under section 7692 of title 38, United States Code, as enacted by subsection (a), the Secretary of Veterans Affairs shall consider the anticipated needs of the Veterans Health Administration during the period two to six years in the future. In granting preference under section 7693 of title 38, United States Code, as enacted by subsection (a), the Secretary of Veterans Affairs shall determine whether a facility of the Department is underserved based on the criteria developed under section 401 of this Act. In the case of an applicant who applies before receiving a residency match and whom the Secretary of Veterans Affairs selects for participation in the Specialty Education Loan Repayment Program established by subsection (a), the Secretary shall offer participation to the applicant not later than 28 days after— the applicant matches with a residency in a medical specialty described in section 7692 of title 38, United States Code, as enacted by subsection (a); and such match is published. The Secretary of Veterans Affairs shall take such steps as the Secretary determines are appropriate to publicize the Specialty Education Loan Repayment Program established under subchapter VIII of chapter 76 of title 38, United States Code, as enacted by subsection (a).