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38 U.S.C. § 7696 — Term of obligated service

Federal law — U.S. Code and appendices · legal_authorities

38 U.S.C. § 7696 — Term of obligated service

Page 1284 TITLE 38—VETERANS’ BENEFITS § 7693 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 Vet- erans Health Administration during the period 2 to 6 years in the future.’’ § 7693. Eligibility; preferences; covered costs (a) ELIGIBILITY.—An individual is eligible to participate in the Specialty Education Loan Re- payment Program if the individual— (1) will be eligible for appointment under section 7401 of this title to work in an occupa- tion described in section 7692 of this title; (2) 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 indi- vidual for the position referred to in para- graph (1); and (3) is— (A) 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 (B) a physician in training in a medical specialty described in section 7692 of this title with more than 2 years remaining in such training. (b) PREFERENCES.—In selecting individuals for participation in the Specialty Education Loan Repayment Program under this subchapter, the Secretary may give preference to the following: (1) Individuals who are, or will be, partici- pating in residency programs in health care facilities— (A) located in rural areas; (B) operated by Indian tribes, tribal orga- nizations, or the Indian Health Service; or (C) affiliated with underserved health care facilities of the Department. (2) Veterans. (c) COVERED COSTS.—For purposes of sub- section

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Page 1284 TITLE 38—VETERANS’ BENEFITS § 7693 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 Vet- erans Health Administration during the period 2 to 6 years in the future.’’ § 7693. Eligibility; preferences; covered costs (a) ELIGIBILITY.—An individual is eligible to participate in the Specialty Education Loan Re- payment Program if the individual— (1) will be eligible for appointment under section 7401 of this title to work in an occupa- tion described in section 7692 of this title; (2) 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 indi- vidual for the position referred to in para- graph (1); and (3) is— (A) 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 (B) a physician in training in a medical specialty described in section 7692 of this title with more than 2 years remaining in such training. (b) PREFERENCES.—In selecting individuals for participation in the Specialty Education Loan Repayment Program under this subchapter, the Secretary may give preference to the following: (1) Individuals who are, or will be, partici- pating in residency programs in health care facilities— (A) located in rural areas; (B) operated by Indian tribes, tribal orga- nizations, or the Indian Health Service; or (C) affiliated with underserved health care facilities of the Department. (2) Veterans. (c) COVERED COSTS.—For purposes of sub- section (a)(2), costs relating to a course of edu- cation or training include— (1) tuition expenses; (2) all other reasonable educational ex- penses, including expenses for fees, books, equipment, and laboratory expenses; and (3) reasonable living expenses. (Added Pub. L. 115–182, title III, § 303(a), June 6, 2018, 132 Stat. 1464; amended Pub. L. 115–251, title II, § 211(a)(12), Sept. 29, 2018, 132 Stat. 3176.) Editorial Notes AMENDMENTS 2018—Subsec. (a)(1). Pub. L. 115–251 substituted ‘‘will be eligible for appointment’’ for ‘‘is hired’’. Statutory Notes and Related Subsidiaries PREFERENCE Pub. L. 115–182, title III, § 303(d), June 6, 2018, 132 Stat. 1467, as amended by Pub. L. 115–251, title II, § 211(b)(6)(A), Sept. 29, 2018, 132 Stat. 3176, provided that: ‘‘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 of Veterans Affairs is un- derserved based on the criteria developed under section 401 of this Act [38 U.S.C. 8110 note].’’ § 7694. Specialty education loan repayment (a) IN GENERAL.—Payments under the Spe- cialty 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 partici- pate in the Program to the holders of such loans. (b) FREQUENCY OF PAYMENT.—The Secretary shall make payments for any given participant in the Specialty Education Loan Repayment Program on a schedule determined appropriate by the Secretary. (c) MAXIMUM AMOUNT; WAIVER.—(1) The amount of payments made for a participant under the Specialty Education Loan Repayment Program may not exceed $160,000 over a total of 4 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. (2)(A) The Secretary may waive the limita- tions under paragraph (1) in the case of a partic- ipant 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). (B) A participant described in this subpara- graph 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 require- ments of the position. (Added Pub. L. 115–182, title III, § 303(a), June 6, 2018, 132 Stat. 1465.) § 7695. Choice of location Each participant in the Specialty Education Loan Repayment Program who completes resi- dency may select, from a list of medical facili- ties of the Veterans Health Administration pro- vided by the Secretary, at which such facility the participant will work in a medical specialty described in section 7692 of this title. (Added Pub. L. 115–182, title III, § 303(a), June 6, 2018, 132 Stat. 1465.) § 7696. Term of obligated service (a) IN GENERAL.—In addition to any require- ments under section 5379(c) of title 5, a partici- pant in the Specialty Education Loan Repay- ment Program must agree, in writing and before the Secretary may make any payment to or for the participant, to— (1) obtain a license to practice medicine in a State; (2) successfully complete post-graduate training leading to eligibility for board certifi- cation in a specialty; (3) serve as a full-time clinical practice em- ployee 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 Page 1285 TITLE 38—VETERANS’ BENEFITS § 7699 (4) except as provided in subsection (b), to begin such service as a full-time practice em- ployee by not later than 60 days after com- pleting a residency. (b) FELLOWSHIP.—In the case of a participant who receives an accredited fellowship in a med- ical specialty other than a medical specialty de- scribed in section 7692 of this title, the Sec- retary, 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. (c) PENALTY.—(1) 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 fol- lowing formula: A = B × ((T ¥ S) ÷ T). (2) In the formula in paragraph (1): (A) ‘‘A’’ is the amount the employee owes the Federal Government. (B) ‘‘B’’ is the sum of all payments to or for the participant under the Specialty Education Loan Repayment Program. (C) ‘‘T’’ is the number of months in the pe- riod of obligated service of the employee. (D) ‘‘S’’ is the number of whole months of such period of obligated service served by the employee. (Added Pub. L. 115–182, title III, § 303(a), June 6, 2018, 132 Stat. 1465; amended Pub. L. 116–61, § 6(8), Sept. 30, 2019, 133 Stat. 1117.) Editorial Notes AMENDMENTS 2019—Subsec. (c)(1). Pub. L. 116–61 struck out second closing parenthesis before period at end. § 7697. Relationship to Educational Assistance Program Assistance under the Specialty Education Loan Repayment Program may be in addition to other assistance available to individuals under the Educational Assistance Program. (Added Pub. L. 115–182, title III, § 303(a), June 6, 2018, 132 Stat. 1466.) SUBCHAPTER IX—READJUSTMENT COUN- SELING SERVICE SCHOLARSHIP PRO- GRAM § 7698. Requirement for program As part of the Educational Assistance Pro- gram, the Secretary shall carry out a scholar- ship program under this subchapter. The pro- gram shall be known as the Department of Vet- erans Affairs Readjustment Counseling Service Scholarship Program (in this subchapter re- ferred to as the ‘‘Program’’). (Added Pub. L. 116–171, title V, § 502(a), Oct. 17, 2020, 134 Stat. 815.) Statutory Notes and Related Subsidiaries EFFECTIVE DATE Pub. L. 116–171, title V, § 502(c), Oct. 17, 2020, 134 Stat. 818, provided that: ‘‘The Secretary of Veterans Affairs shall begin awarding scholarships under subchapter IX of chapter 76 of title 38, United States Code, as added by subsection (a), for programs of study beginning not later than one year after the date of the enactment of this Act [Oct. 17, 2020].’’ § 7699. Eligibility; agreement (a) IN GENERAL.—An individual is eligible to participate in the Program, as determined by the Readjustment Counseling Service of the De- partment, if the individual— (1) is accepted for enrollment or enrolled (as described in section 7602 of this title) in a pro- gram of study at an accredited educational in- stitution, school, or training program leading to a terminal degree in psychology, social work, marriage and family therapy, or mental health counseling that would meet the edu- cation requirements for appointment to a po- sition under section 7402(b) of this title; and (2) enters into an agreement with the Sec- retary under subsection (c). (b) PRIORITY.—In selecting individuals to par- ticipate in the Program, the Secretary shall give priority to the following individuals: (1) An individual who agrees to be employed by a Vet Center located in a community that is— (A) designated as a medically underserved population under section 330(b)(3) of the Public Health Service Act (42 U.S.C. 254b(b)(3)); and (B) in a State with a per capita population of veterans of more than five percent accord- ing to the National Center for Veterans Analysis and Statistics and the Bureau of the Census. (2) An individual who is a veteran. (c) AGREEMENT.—An agreement between the Secretary and a participant in the Program shall (in addition to the requirements set forth in section 7604 of this title) include the fol- lowing: (1) An agreement by the Secretary to pro- vide the participant with a scholarship under the Program for a specified number of school years during which the participant pursues a program of study described in subsection (a)(1) that meets the requirements set forth in sec- tion 7602(a) of this title. (2) An agreement by the participant to serve as a full-time employee of the Department at a Vet Center for a six-year period following the completion by the participant of such pro- gram of study (in this subchapter referred to as the ‘‘period of obligated service’’). (d) VET CENTER DEFINED.—In this section, the term ‘‘Vet Center’’ has the meaning given that term in section 1712A(h) of this title. (Added Pub. L. 116–171, title V, § 502(a), Oct. 17, 2020, 134 Stat. 815.) Statutory Notes and Related Subsidiaries EFFECTIVE DATE Secretary of Veterans Affairs to begin awarding scholarships under this subchapter for programs of study beginning no later than one year after Oct. 17, 2020, see section 502(c) of Pub. L. 116–171, set out as a note under section 7698 of this title.

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Federal law — U.S. Code and appendices · legal_authorities

38 U.S.C. § 7696 — Term of obligated service

**(a) In General.—** In addition to any requirements under [section 5379(c) of title 5](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title5-section5379/c&num=0&edition=prelim), 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— (1) obtain a license to practice medicine in a State; (2) successfully complete post-graduate training leading to eligibility for board certification in a specialty; (3) 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 (4) 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. **(b) Fellowship.—** 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](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title38-section7692&num=0&edition=prelim), 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. **(c) Penalty.—** (1) 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). (2) In the formula in paragraph (1): (A) “A” is the amount the employee owes the Federal Government. (B) “B” is the sum of all

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Federal law — U.S. Code and appendices · legal_authorities

38 U.S.C. § 8110 — Operation of medical facilities

**(a)** (1) The Secretary shall establish the total number of hospital beds and nursing home beds in medical facilities over which the Secretary has direct jurisdiction for the care and treatment of eligible veterans. The Secretary shall establish the total number of such beds so as to maintain a contingency capacity to assist the Department of Defense in time of war or national emergency to care for the casualties of such war or national emergency. Of the number of beds authorized pursuant to the preceding sentence, the Secretary shall maintain the availability of such additional beds and facilities in addition to the operating bed level as the Secretary considers necessary for such contingency purposes. The President shall include in the Budget transmitted to the Congress for each fiscal year pursuant to [section 1105 of title 31](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title31-section1105&num=0&edition=prelim), an amount for medical care and amounts for construction sufficient to maintain the availability of the contingency capacity referred to in the second sentence of this paragraph. The Secretary shall staff and maintain, in such a manner as to ensure the immediate acceptance and timely and complete care of patients, and in a manner consistent with the policies of the Secretary on overtime, sufficient beds and other treatment capacities to accommodate, and provide such care to, eligible veterans applying for admission and found to be in need of hospital care or medical services. (2) The Secretary shall maintain the bed and treatment capacities of all Department medical facilities, including the staffing required to maintain such capacities, so as to ensure the accessibility and availability of such beds and treatment capacities to eligible v

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Federal law — U.S. Code and appendices · legal_authorities

38 U.S.C. § 8110 — Operation of medical facilities

Page 1311 TITLE 38—VETERANS’ BENEFITS § 8110 EFFECTIVE DATE Section effective Oct. 1, 1979, but not applicable with respect to the acquisition, construction, or alteration of any medical facilities if the acquisition, construc- tion, or alteration (not including exchange) was ap- proved by the President before Oct. 1, 1979, see section 302 of Pub. L. 96–22, set out as a note under section 8101 of this title. § 8110. Operation of medical facilities (a)(1) The Secretary shall establish the total number of hospital beds and nursing home beds in medical facilities over which the Secretary has direct jurisdiction for the care and treat- ment of eligible veterans. The Secretary shall establish the total number of such beds so as to maintain a contingency capacity to assist the Department of Defense in time of war or na- tional emergency to care for the casualties of such war or national emergency. Of the number of beds authorized pursuant to the preceding sentence, the Secretary shall maintain the availability of such additional beds and facili- ties in addition to the operating bed level as the Secretary considers necessary for such contin- gency purposes. The President shall include in the Budget transmitted to the Congress for each fiscal year pursuant to section 1105 of title 31, an amount for medical care and amounts for con- struction sufficient to maintain the availability of the contingency capacity referred to in the second sentence of this paragraph. The Sec- retary shall staff and maintain, in such a man- ner as to ensure the immediate acceptance and timely and complete care of patients, and in a manner consistent with the policies of the Sec- retary on overtime, sufficient beds and other treatment capacities to accommodate, and pro- vide

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Federal law — U.S. Code and appendices · legal_authorities

42 U.S.C. § 254b — Health centers

**(a) “Health center” defined** (1) **In general** — For purposes of this section, the term “health center” means an entity that serves a population that is medically underserved, or a special medically underserved population comprised of migratory and seasonal agricultural workers, the homeless, and residents of public housing, by providing, either through the staff and supporting resources of the center or through contracts or cooperative arrangements— (A) required primary health services (as defined in subsection (b)(1)); and (B) as may be appropriate for particular centers, additional health services (as defined in subsection (b)(2)) necessary for the adequate support of the primary health services required under subparagraph (A); for all residents of the area served by the center (hereafter referred to in this section as the “catchment area”). (2) **Limitation** — The requirement in paragraph (1) to provide services for all residents within a catchment area shall not apply in the case of a health center receiving a grant only under subsection (g), (h), or (i). **(b) Definitions** For purposes of this section: (1) **Required primary health services** (A) *In general* — The term “required primary health services” means— (i) basic health services which, for purposes of this section, shall consist of— (I) health services related to family medicine, internal medicine, pediatrics, obstetrics, or gynecology that are furnished by physicians and where appropriate, physician assistants, nurse practitioners, and nurse midwives; (II) diagnostic laboratory and radiologic services; (III) preventive health services, including— (aa) prenatal and perinatal services; (bb) appropriate cancer screening; (cc) well-chil

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Federal law — U.S. Code and appendices · legal_authorities

42 U.S.C. § 254b — Health centers

Page 340 TITLE 42—THE PUBLIC HEALTH AND WELFARE § 254b Health Service for the year in which such pro- ceeds are received. (July 1, 1944, ch. 373, title III, § 327A, formerly § 328, as added Pub. L. 90–174, § 7, Dec. 5, 1967, 81 Stat. 539; renumbered § 327A, Pub. L. 95–626, title I, § 113(a)(2), Nov. 10, 1978, 92 Stat. 3562; amended Pub. L. 100–607, title VI, § 629(a)(1), Nov. 4, 1988, 102 Stat. 3146.) Editorial Notes AMENDMENTS 1988—Subsec. (b)(1). Pub. L. 100–607 inserted ‘‘schools of osteopathic medicine,’’ after ‘‘schools of medicine,’’ and ‘‘professions’’ after ‘‘health’’. Statutory Notes and Related Subsidiaries AVAILABILITY OF APPROPRIATIONS FOR EXPENSES OF SHARING MEDICAL CARE FACILITIES AND RESOURCES Pub. L. 102–394, title II, § 204, Oct. 6, 1992, 106 Stat. 1811, provided that: ‘‘Funds advanced to the National Institutes of Health Management Fund from appropria- tions in this Act or subsequent Departments of Labor, Health and Human Services, and Education, and Re- lated Agencies Appropriations Acts shall be available for the expenses of sharing medical care facilities and resources pursuant to section 327A of the Public Health Service Act [42 U.S.C. 254a].’’ Similar provisions were contained in the following prior appropriation acts: Pub. L. 102–170, title II, § 204, Nov. 26, 1991, 105 Stat. 1126. Pub. L. 101–517, title II, § 204, Nov. 5, 1990, 104 Stat. 2208. Pub. L. 101–166, title II, § 205, Nov. 21, 1989, 103 Stat. 1177. Pub. L. 100–202, § 101(h) [title II, § 205], Dec. 22, 1987, 101 Stat. 1329–256, 1329–274. Pub. L. 99–500, § 101(i) [H.R. 5233, title II, § 205], Oct. 18, 1986, 100 Stat. 1783–287, and Pub. L. 99–591, § 101(i) [H.R. 5233, title II, § 205], Oct. 30, 1986, 100 Stat. 3341–287. Pub. L. 99–178, title II, § 205, Dec.

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