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25 U.S.C. § 1616a — Indian health service extern programs
Federal law — U.S. Code and appendices · legal_authorities
**(a) Employment of scholarship grantees during nonacademic periods** Any individual who receives a scholarship grant pursuant to [section 1613a of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title25-section1613a&num=0&edition=prelim) shall be entitled to employment in the Service during any nonacademic period of the year. Periods of employment pursuant to this subsection shall not be counted in determining the fulfillment of the service obligation incurred as a condition of the scholarship grant.
**(b) Employment of medical and other students during nonacademic periods** Any individual enrolled in a course of study in the health professions may be employed by the Service during any nonacademic period of the year. Any such employment shall not exceed one hundred and twenty days during any calendar year.
**(c) Employment without regard to competitive personnel system or agency personnel limitation; compensation** Any employment pursuant to this section shall be made without regard to any competitive personnel system or agency personnel limitation and to a position which will enable the individual so employed to receive practical experience in the health profession in which he or she is engaged in study. Any individual so employed shall receive payment for his or her services comparable to the salary he or she would receive if he or she were employed in the competitive system. Any individual so employed shall not be counted against any employment ceiling affecting the Service or the Department of Health and Human Services.
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Stable record: federal_law:legal_authorities:record_usc_9430c194718f0cbdae117079
Source file: Laws/federal/codes/united-states-code/title-25/section-1616a-indian-health-service-extern-programs--adb0e00f6c.md
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Source location: Title 25, Chapter 18, § 1616a; chapter-018-indian-health-care.md
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**(a) Employment of scholarship grantees during nonacademic periods** Any individual who receives a scholarship grant pursuant to [section 1613a of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title25-section1613a&num=0&edition=prelim) shall be entitled to employment in the Service during any nonacademic period of the year. Periods of employment pursuant to this subsection shall not be counted in determining the fulfillment of the service obligation incurred as a condition of the scholarship grant.
**(b) Employment of medical and other students during nonacademic periods** Any individual enrolled in a course of study in the health professions may be employed by the Service during any nonacademic period of the year. Any such employment shall not exceed one hundred and twenty days during any calendar year.
**(c) Employment without regard to competitive personnel system or agency personnel limitation; compensation** Any employment pursuant to this section shall be made without regard to any competitive personnel system or agency personnel limitation and to a position which will enable the individual so employed to receive practical experience in the health profession in which he or she is engaged in study. Any individual so employed shall receive payment for his or her services comparable to the salary he or she would receive if he or she were employed in the competitive system. Any individual so employed shall not be counted against any employment ceiling affecting the Service or the Department of Health and Human Services.
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Federal law — U.S. Code and appendices · legal_authorities
The purpose of this subchapter is to increase the number of Indians entering the health professions and to assure an adequate supply of health professionals to the Service, Indian tribes, tribal organizations, and urban Indian organizations involved in the provision of health care to Indian people.
Source: Supplied U.S. Code snapshot — release unconfirmed · 25 U.S.C. § 1613a
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Federal law — U.S. Code and appendices · legal_authorities
**(a) In general** The Secretary, acting through the Director of the Federal Office of Rural Health Policy (established under [section 912 of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section912&num=0&edition=prelim)), shall make grants to each State Office of Rural Health for the purpose of improving health care in rural areas.
**(b) Requirement of matching funds**
(1) **In general** — Subject to paragraph (2), the Secretary may not make a grant under subsection (a) unless the State office of rural health involved agrees, with respect to the costs to be incurred in carrying out the purpose described in such subsection, to provide non-Federal contributions toward such costs in an amount equal to $3 for each $1 of Federal funds provided in the grant.
(2) **Waiver or reduction** — The Secretary may waive or reduce the non-Federal contribution if the Secretary determines that requiring matching funds would limit the State office of rural health’s ability to carry out the purpose described in subsection (a).
(3) **Determination of amount of non-Federal contribution** — Non-Federal contributions required in paragraph (1) may be in cash or in kind, fairly evaluated, including plant, equipment, or services. Amounts provided by the Federal Government, or services assisted or subsidized to any significant extent by the Federal Government, may not be included in determining the amount of such non-Federal contributions.
**(c) Certain required activities** Recipients of a grant under subsection (a) shall use the grant funds for purposes of—
(1) maintaining within the State office of rural health a clearinghouse for collecting and disseminating information on—
(A) rural health care issues;
(B) research findings relating to rural hea
Source: Supplied U.S. Code snapshot — release unconfirmed · 42 U.S.C. § 254r
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Federal law — U.S. Code and appendices · legal_authorities
**(a) General authority** In order to provide health professionals to Indians, Indian tribes, tribal organizations, and urban Indian organizations, the Secretary, acting through the Service and in accordance with this section, shall make scholarship grants to Indians who are enrolled full or part time in appropriately accredited schools and pursuing courses of study in the health professions. Such scholarships shall be designated Indian Health Scholarships and shall be made in accordance with section 254l of title 42, except as provided in subsection (b) of this section.
**(b) Recipients; active duty service obligation**
(1) The Secretary, acting through the Service, shall determine who shall receive scholarships under subsection (a) and shall determine the distribution of such scholarships among such health professions on the basis of the relative needs of Indians for additional service in such health professions.
(2) An individual shall be eligible for a scholarship under subsection (a) in any year in which such individual is enrolled full or part time in a course of study referred to in subsection (a) of this section.
(3)
(A) The active duty service obligation under a written contract with the Secretary under section 254l of title 42 that an individual has entered into under that section shall, if that individual is a recipient of an Indian Health Scholarship, be met in full-time practice, by service—
(i) in the Indian Health Service;
(ii) in a program conducted under a contract entered into under the Indian Self-Determination Act [[25 U.S.C. 5321](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title25-section5321&num=0&edition=prelim) et seq.];
(iii) in a program assisted under subchapter IV of this chapter; 11 So in original. Pro
Source: Supplied U.S. Code snapshot — release unconfirmed · 25 U.S.C. § 1616
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Federal law — U.S. Code and appendices · legal_authorities
**(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 “Fund”). The Fund shall consist of such amounts as may be appropriated to the Fund under subsection (b). Amounts appropriated for the Fund shall remain available until expended.
**(b) Authorization of appropriations** For each fiscal year, there is authorized to be appropriated to the Fund an amount equal to the sum of—
(1) the amount collected during the preceding fiscal year by the Federal Government pursuant to—
(A) the liability of individuals under subparagraph (A) or (B) of [section 1613a(b)(5) of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title25-section1613a/b/5&num=0&edition=prelim) for the breach of contracts entered into under [section 1613a of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title25-section1613a&num=0&edition=prelim); and
(B) the liability of individuals under section 1616a(l) of this title for the breach of contracts entered into under [section 1616a of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title25-section1616a&num=0&edition=prelim); and
(2) the aggregate amount of interest accruing during the preceding fiscal year on obligations held in the Fund pursuant to subsection (d) and the amount of proceeds from the sale or redemption of such obligations during such fiscal year.
**(c) Use of funds**
(1) Amounts in the Fund and available pursuant to appropriation Acts may be expended by the Secretary, acting through the Service, to make payments to an Indian tribe or tribal organization administering a health care program pursuant to a contract
Source: Supplied U.S. Code snapshot — release unconfirmed · 25 U.S.C. § 1616d
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Federal law — U.S. Code and appendices · legal_authorities
**(a)** The Secretary may reimburse health professionals seeking positions in the Service, including individuals considering entering into a contract under [section 1616a of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title25-section1616a&num=0&edition=prelim), 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)** The Secretary, acting through the Service, shall assign one individual in each area office to be responsible on a full-time basis for recruitment activities.
Source: Supplied U.S. Code snapshot — release unconfirmed · 25 U.S.C. § 1616e
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Federal law — U.S. Code and appendices · legal_authorities
**(a) Establishment of program** The Secretary, acting through the Service, shall establish a program to enable health professionals to pursue advanced training or research in areas of study for which the Secretary determines a need exists. In selecting participants for a program established under this subsection, the Secretary, acting through the Service, shall give priority to applicants who are employed by the Indian Health Service, Indian tribes, tribal organizations, and urban Indian organizations, at the time of the submission of the applications.
**(b) Obligated service** An individual who participates in a program under subsection (a), where the educational costs are borne by the Service, shall incur an obligation to serve in an Indian health program (as defined in [section 1616a(a)(2) of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title25-section1616a/a/2&num=0&edition=prelim)) 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 individual fails to complete such obligated service, the individual shall be liable to the United States for the period of service remaining. In such event, with respect to individuals entering the program after October 29, 1992, 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 1616a of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title25-section1616a&num=0&edition=prelim) in the manner provided for in such subsection.
**(c) Eligibility** Health professionals from Indian tribes and tribal and Indian organizations under the authority of the Indian Self-Determination A
Source: Supplied U.S. Code snapshot — release unconfirmed · 25 U.S.C. § 1616f
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Federal law — U.S. Code and appendices · legal_authorities
**(a) Establishment** The Secretary, acting through the Service, shall establish a program to enable licensed practical nurses, licensed vocational nurses, and registered nurses who are working in an Indian health program (as defined in [section 1616a(a)(2)(A) of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title25-section1616a/a/2/A&num=0&edition=prelim)), and have done so for a period of not less than one year, to pursue advanced training.
**(b) Program components** Such program shall include a combination of education and work study in an Indian health program (as defined in [section 1616a(a)(2)(A) of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title25-section1616a/a/2/A&num=0&edition=prelim)) leading to an associate or bachelor’s degree (in the case of a licensed practical nurse or licensed vocational nurse) or a bachelor’s degree (in the case of a registered nurse) or a Master’s degree.
**(c) Service obligation of program participant** An individual who participates in a program under subsection (a), where the educational costs are paid by the Service, shall incur an obligation to serve in an Indian health program for a period of obligated service equal to at least three times the period of time during which the individual participates in such program. In the event that the individual fails to complete such obligated service, the United States shall be entitled to recover from such individual an amount determined in accordance with the formula specified in subsection (l) of [section 1616a of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title25-section1616a&num=0&edition=prelim) in the manner provided for in such subsection.
Source: Supplied U.S. Code snapshot — release unconfirmed · 25 U.S.C. § 1616n
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Federal law — U.S. Code and appendices · legal_authorities
**(a) In general**
(1) The Secretary shall make grants to Indian tribes and tribal organizations for the purpose of assisting such tribes and tribal organizations in educating Indians to serve as health professionals in Indian communities.
(2) Amounts available for grants under paragraph (1) for any fiscal year shall not exceed 5 percent of amounts available for such fiscal year for Indian Health Scholarships under [section 1613a of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title25-section1613a&num=0&edition=prelim).
(3) An application for a grant under paragraph (1) shall be in such form and contain such agreements, assurances, and information as the Secretary determines are necessary to carry out this section.
**(b) Compliance with requirements**
(1) An Indian tribe or tribal organization receiving a grant under subsection (a) shall agree to provide scholarships to Indians pursuing education in the health professions in accordance with the requirements of this section.
(2) With respect to the costs of providing any scholarship pursuant to paragraph (1)—
(A) 80 percent of the costs of the scholarship shall be paid from the grant made under subsection (a) to the Indian tribe or tribal organization; and
(B) 20 percent of such costs shall be paid from non-Federal contributions by the Indian tribe or tribal organization through which the scholarship is provided.
(3) In determining the amount of non-Federal contributions that have been provided for purposes of subparagraph (B) of paragraph (2), any amounts provided by the Federal Government to the Indian tribe or tribal organization involved or to any other entity shall not be included.
(4) Non-Federal contributions required by subparagraph (B) of paragraph (2) may be provided di
Source: Supplied U.S. Code snapshot — release unconfirmed · 25 U.S.C. § 1616p
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Federal law — U.S. Code and appendices · legal_authorities
**(a) National plan for Indian Mental Health Services**
(1) Not later than 120 days after November 28, 1990, the Secretary, acting through the Service, shall develop and publish in the Federal Register a final national plan for Indian Mental Health Services. The plan shall include—
(A) an assessment of the scope of the problem of mental illness and dysfunctional and self-destructive behavior, including child abuse and family violence, among Indians, including—
(i) the number of Indians served by the Service who are directly or indirectly affected by such illness or behavior, and
(ii) an estimate of the financial and human cost attributable to such illness or behavior;
(B) an assessment of the existing and additional resources necessary for the prevention and treatment of such illness and behavior; and
(C) an estimate of the additional funding needed by the Service to meet its responsibilities under the plan.
(2) The Secretary shall submit a copy of the national plan to the Congress.
**(b) Memorandum of agreement** Not later than 180 days after November 28, 1990, the Secretary and the Secretary of the Interior shall develop and enter into a memorandum of agreement under which the Secretaries shall, among other things—
(1) determine and define the scope and nature of mental illness and dysfunctional and self-destructive behavior, including child abuse and family violence, among Indians;
(2) make an assessment of the existing Federal, tribal, State, local, and private services, resources, and programs available to provide mental health services for Indians;
(3) make an initial determination of the unmet need for additional services, resources, and programs necessary to meet the needs identified pursuant to paragraph (1);
(4)
(A) ensure that Ind
Source: Supplied U.S. Code snapshot — release unconfirmed · 25 U.S.C. § 1621k
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Federal law — U.S. Code and appendices · legal_authorities
Page 250
TITLE 25—INDIANS
§ 1615
§ 1615. Continuing education allowances
In order to encourage scholarship and stipend
recipients under sections 1613a, 1614, and 1616h of
this title and health professionals, including
community health representatives and emer-
gency medical technicians, to join or continue
in an Indian health program and to provide serv-
ices in the rural and remote areas in which a
significant portion of Indians reside, the Sec-
retary, acting through the Service, may—
(1) provide programs or allowances to transi-
tion into an Indian health program, including
licensing, board or certification examination
assistance, and technical assistance in ful-
filling service obligations under sections 1613a,
1614, and 1616h of this title; and
(2) provide programs or allowances to health
professionals employed in an Indian health
program to enable those professionals, for a
period of time each year prescribed by regula-
tion of the Secretary, to take leave of the
duty stations of the professionals for profes-
sional consultation, management, leadership,
and refresher training courses.
(Pub. L. 94–437, title I, § 106, Sept. 30, 1976, 90
Stat. 1404; Pub. L. 100–713, title I, § 105, Nov. 23,
1988, 102 Stat. 4787; Pub. L. 102–573, title I,
§§ 104(a), 115, Oct. 29, 1992, 106 Stat. 4533, 4543;
Pub. L. 111–148, title X, § 10221(a), Mar. 23, 2010,
124 Stat. 935.)
Editorial Notes
CODIFICATION
Amendment by Pub. L. 111–148 is based on section
134(c) of title I of S. 1790, One Hundred Eleventh Con-
gress, as reported by the Committee on Indian Affairs
of the Senate in Dec. 2009, which was enacted into law
by section 10221(a) of Pub. L. 111–148.
AMENDMENTS
2010—Pub. L. 111–148 amended section generally. Prior
to amendment, section related to discre
Source: Supplied 2024 U.S. Code historical extraction · 25 U.S.C. § 1616a
Stored review status: historical_2024_not_currentness_verified. Same stored citation; legal effect and authority still require review.