S 3022 United States Senate · 118th Congress

IHS Workforce Parity Act of 2024

This bill amends the Indian Health Service (IHS) scholarship and loan repayment programs to provide greater flexibility for healthcare professionals. It allows scholarship recipients and loan repayment participants to fulfill their service obligations through part-time (half-time) practice in Indian health programs, instead of requiring full-time work. Specifically, it offers two options: working half-time for 4 years (or longer) with full payment, or working half-time for 2 years with reduced payments (50% of full-time amount). The bill directly affects healthcare professionals who receive IHS scholarships or loan repayments, enabling them to serve in underserved Indian communities through adjusted work schedules.
Bill status passed 3 of 5 stages cleared
Introduction
Oct 2023
Committee Review
Nov 2024
Senate Passage
Dec 2024
House Passage
President
Introduced Oct 4, 2023 Last action Dec 18, 2024
Maddy AI version diff · 1 comparison

What changed between versions

Introduced in Senate → Engrossed in Senate · 5 edits · Dec 17, 2024
MODERATE
The Engrossed version restructures how half-time (part-time) practitioners are treated under both the IHS scholarship and loan repayment programs. Instead of offering a reduced award amount as an alternative for part-time workers, the bill now uses a unified breach-of-contract damages framework that converts half-time service into full-time equivalents when calculating penalties for failing to complete service obligations. The short title year was also updated from 2023 to 2024.
REQUIREMENT

In the scholarship program, the old version let a half-time practitioner choose between doubling their service period OR accepting a minimum 2-year obligation with a 50% reduced award. The new version removes that choice: the practitioner must double the obligated service period (measured against full-time practice), and if they fail to complete it, damages are calculated using the standard breach-of-contract procedures after converting half-time service to its full-time equivalent.

In the loan repayment program, the half-time service options were reorganized. The old version offered either 4 years half-time OR a minimum of 2 years half-time with a 50% reduced loan payment. The new version keeps both as separate subclauses but adds a condition to the 4-year option: if the individual originally agreed to serve longer than 2 years full-time, the half-time obligation must equal the equivalent time needed to complete that same amount of service.

ENFORCEMENT

A new breach-of-contract damages provision was added for half-time practitioners in both the scholarship and loan repayment programs. If a part-time practitioner fails to begin or complete their obligated service, the standard damages calculation procedures apply after converting the half-time period (or service already performed) into its full-time equivalent.

TECHNICAL

A new amendment to subsection (l)(2) of the Indian Health Care Improvement Act explicitly states that periods of obligated service completed in half-time clinical practice shall be converted to their full-time equivalents for purposes of determining damages for breach of contract. This codifies the conversion rule directly into the underlying statute.

The short title was updated from 'IHS Workforce Parity Act of 2023' to 'IHS Workforce Parity Act of 2024', reflecting the current legislative session year.

Floor votes

How they voted

This bill passed the Senate by voice vote (no roll call recorded).
Full legislative history

Actions timeline

Total actions
11
Key actions
5
Committee
4
Dec 17, 2024
Upper · Passed
Passed Senate with an amendment by Voice Vote. (consideration: CR S7097-7098; text: CR S7097)
upper
Dec 17, 2024
Upper · Passed
Passed/agreed to in Senate: Passed Senate with an amendment by Voice Vote.
upper
Nov 12, 2024
Upper · Passed
Committee on Indian Affairs. Reported by Senator Schatz with an amendment in the nature of a substitute. With written report No. 118-240.
upper
May 1, 2024
Upper · Passed
Committee on Indian Affairs. Ordered to be reported with an amendment in the nature of a substitute favorably.
upper
Feb 8, 2024
Upper · Passed
Committee on Indian Affairs. Hearings held. Hearings printed: S.Hrg. 118-416.
upper
Oct 4, 2023
Committee
Read twice and referred to the Committee on Indian Affairs.
upper
Oct 4, 2023
Introduced
Introduced in Senate
upper
1 primary · 1 co-sponsor

Sponsors