Sec. 4. Pilot program to establish or affiliate with graduate medical residency programs 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; or to affiliate with established programs described in paragraph (1). The Secretary shall carry out the pilot program at not more than four covered facilities that have been selected by the Secretary for purposes of the pilot program. The Secretary shall establish criteria for selecting covered facilities under paragraph (1).
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, supervision, 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. The Secretary shall enter into an agreement with each individual who participates in the pilot program under which such individual agrees to serve a period of one year of obligated service at a covered facility or a facility of the Department of Veterans Affairs for each year in which the individual participates in the pilot program under this section.
An individual 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 individual 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 individual. During the period of obligated service of an individual under paragraph (1), the individual— shall be deemed to be an eligible individual under subsection
(b)of section 108 of the Indian Health Care Improvement Act ( 25 U.S.C. 1616a ) for purposes of participation in the Indian Health Service Loan Repayment Program under such section during the portion of such period that the individual serves at a covered facility; and shall be deemed to be an eligible individual under section 7682(a) of title 38, United States Code, for purposes of participation in the Department of Veterans Affairs Education Debt Reduction Program under subchapter VII of chapter 76 of such title during the portion of such period that the individual serves at a facility of the Department. Any period of obligated service required of an individual under paragraph
(1)shall be served— with respect to service at a covered facility, concurrently with any period of obligated service required of the individual by the Indian Health Service; and with respect to service at a facility of the Department of Veterans Affairs, concurrently with any period of obligated service required of the individual by the Department. Not later than three years before the termination of the pilot program under subsection (c), the Secretary of Veterans Affairs 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. 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. There is authorized to be appropriated— to the Secretary of Health and Human Services, acting through the Director of the Indian Health Service, such sums as may be necessary to cover loan repayments paid under the Indian Health Service Loan Repayment Program to individuals participating in the pilot program; and to the Secretary of Veterans Affairs such sums as may be necessary to cover loan repayments paid under the Department of Veterans Affairs Education Debt Reduction Program to individuals participating in the pilot program. Amounts appropriated or otherwise made available for the Indian Health Service Loan Repayment Program or the Department of Veterans Affairs Education Debt Reduction Program pursuant to the authorization of appropriations under subparagraph
(A)shall supplement, not supplant, amounts made available to such programs under other provisions of law. 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.
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Sec. 4
Pilot program to establish or affiliate with graduate medical residency programs at facilities operated by Indian tribes, tribal organizations, and the Indian Health Service in rural areas
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