106 STAT. 4534

and

PUBLIC LAW 102-573—OCT. 29, 1992
"(1) a position for which recruitment or retention is difficult;

"(2) necessary for providing health care services to
Indians.".

(e) RESIDENCY PROGRAM.—Title I of the Act is amended by
adding at the end the following new section:

"NURSING RESIDENCY PROGRAM

25 USC 1616k. «SEC. 118. (a) 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 108(a)(2)(A)), and
have done so for a period of not less than one year, to pursue
advanced training.

"(b) Such program shall include a combination of education
and work study in an Indian health program (as defined in section
108(a)(2)(A)) 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).

"(c) An individual who participates in a program under sub-
section (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 (1) of section 108 in the manner
provided for in such subsection.".

(f) GRANTS FOR THE PROVISION OF PRIMARY CARE SERVICES
ON OR NEAR INDIAN COUNTRY.—Title I of the Indian Health Care
Improvement Act (25 U.S.C. 1601 et seq.) is amended by adding
immediately after section 112 the following new section:

"NURSING SCHOOL CLINICS

25 USC I6i6e-l. "SEC. 112A. (a) GRANTS.—In addition to the authority of the

Secretary under section 112(a)(l), the Secretary, acting through
the Service, is authorized to provide grants to public or private
schools of nursing for the purpose of establishing, developing,
operating, and administering clinics to address the health care
needs of Indians, and to provide primary health care services to
Indians who reside on or within 50 miles of Indian country, as
defined in section 1151 of title 18, United States Code.

"(b) PURPOSES.—Grants provided under subsection (a) may be
used to—

"(1) establish clinics, to be run and staffed by the faculty
and students of a grantee school, to provide primary care serv-
ices in areas in or within 50 miles of Indian country (as defined
in section 1151 of title 18, United States Code);

"(2) provide clinical training, program development, faculty
enhancement, and student scholarships in a manner that would
benefit such clinics; and

"(3) carry out any other activities determined appropriate
by the Secretary.