Title 25 › CHAPTER 18 — INDIAN HEALTH CARE › SUBCHAPTER I — INDIAN HEALTH PROFESSIONAL PERSONNEL › § 1616j
The Secretary can pay a retention bonus to doctors or nurses who work for the Service, either as civilian employees or as commissioned officers, if they meet certain conditions. The job must be on a list of hard-to-fill positions, must be needed by the Service, the employee must have either finished 3 years of Service or completed any federal scholarship or loan-repayment service, and the employee must agree to stay at least 1 year. At least 25 percent of these bonuses each year must go to nurses starting in fiscal year 1993. The Secretary sets the bonus amounts, which are bigger for multiyear deals than for one-year deals, but never more than $25,000 per year. The full bonus is paid at the start of the agreed term. If someone leaves early for reasons that are their fault, they must repay the full bonus plus interest. The Secretary may also pay bonuses to doctors or nurses working for Indian Self-Determination Act contractors if the job is hard to staff and needed for Indian health care.
Full Legal Text
Indians, Source: USLM XML via OLRC
Legislative History
Reference
Citation
25 U.S.C. § 1616j
Title 25, Indians
Last Updated
Sep 23, 2026
Release point: 119-110